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Individual

KANSAS COURTNEY STAFFY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
108 W UNIVERSITY DR, MESA, AZ 85201-5818
(480) 668-1917
Mailing address
16749 W WASHINGTON ST, GOODYEAR, AZ 85338-4530
(210) 848-9584

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP.0005847
CO
235Z00000X
Speech-Language Pathologist
Primary
SLP17021
AZ
235Z00000X
Speech-Language Pathologist
SP-3055
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227983
AZ
Enumeration date
07/14/2021
Last updated
05/14/2026
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