Individual
CATHERINE K BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
SPEECH HEARING CLINIC, ARIZONA STATE UNIVERSITY, TEMPE, AZ 85287-0102
(480) 965-5475
Mailing address
PO BOX 870102, ARIZONA STATE UNIVERSITY, TEMPE, AZ 85287-0102
(480) 965-5475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1317
AZ
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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