Individual
MRS. CATHERINE MARY MCIVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4870 N LITCHFIELD RD STE 101, LITCHFIELD PARK, AZ 85340-5041
(623) 935-6040
(623) 935-6046
Mailing address
4870 N LITCHFIELD RD STE 101, LITCHFIELD PARK, AZ 85340-5041
(623) 935-6040
(623) 935-6046
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
SLPA9022
AZ
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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