Individual
KATHERINE CANDLAND PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2100 WEST PERRY RD, ROGERS, AR 72758
(479) 631-3515
(479) 202-9105
Mailing address
500 W. WALNUT ST, ROGERS, AR 72756
(479) 636-3910
(479) 202-9100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP4343
AZ
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581274
AHCCCS ID
AZ
Enumeration date
03/20/2007
Last updated
11/16/2020
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