Individual
MARSHALL KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
HUMBOLDT UNIFIED SCHOOL DISTRICT #22 SPECIAL SRVCS OFIC, 8766 EAST HWY 69, PRESCOTT VALLEY, AZ 86314
(928) 759-4028
(928) 759-4030
Mailing address
8766 E HWY 69, PRESCOTT VALLEY, AZ 86314
(928) 759-4032
(928) 759-4030
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1885
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579550
—
AZ
Enumeration date
02/20/2007
Last updated
07/08/2007
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