Individual
MR. MICHAEL KLUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.A.,M.A., CCC-SLP
Contact information
Practice address
4877 N TERRITORY AVE, TUCSON, AZ 85750-5960
(520) 529-0285
Mailing address
4877 N TERRITORY AVE, TUCSON, AZ 85750-5960
(520) 529-0285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1779
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
957269
AHCCCS
AZ
Enumeration date
06/17/2005
Last updated
04/23/2009
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