Individual
KAITLIN WILLKOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Contact information
Practice address
2599 S PRICKLY PT, GOLD CANYON, AZ 85118-4640
(480) 375-8667
Mailing address
2599 S PRICKLY PT, GOLD CANYON, AZ 85118-4640
(480) 375-8667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9373
AZ
Other
Enumeration date
09/12/2015
Last updated
07/28/2025
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