Individual
ELIZABETH HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3800 KATIE LANE LOOP, KINGMAN, AZ 86401-4336
(317) 354-7925
Mailing address
3800 KATIE LANE LOOP, KINGMAN, AZ 86401-4336
(317) 354-7925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP12403
AZ
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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