Individual
MS. KATRINA ELLEN OLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 E VIRGINIA AVE, PHOENIX, AZ 85006-1324
(602) 381-6120
Mailing address
2702 E FLOWER ST, PHOENIX, AZ 85016-7461
(602) 381-6018
(602) 381-6020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7406
AZ
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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