Individual
ANNE KENISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7807
AZ
235Z00000X
Speech-Language Pathologist
TSLP7807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
713555
—
AZ
Enumeration date
06/26/2012
Last updated
04/10/2023
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