Individual
FABIANE HIRSCH KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1011 N CRAYCROFT RD, SUITE 301, TUCSON, AZ 85711-7309
(520) 730-8428
(520) 300-8328
Mailing address
1011 N CRAYCROFT RD, SUITE 301, TUCSON, AZ 85711-7309
(520) 730-8428
(520) 300-8328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP#1636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
713722
—
AZ
Enumeration date
05/14/2012
Last updated
03/14/2013
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