Individual
MISS LISA MARIE KERRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
17100 E SHEA BLVD # AZ85268, FOUNTAIN HILLS, AZ 85268-6625
(480) 472-9158
Mailing address
17100 E SHEA BLVD, FOUNTAIN HILLS, AZ 85268-6625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7341
AZ
Other
Enumeration date
08/01/2011
Last updated
04/18/2018
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