Individual
MRS. KATHRYN MARIE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7600 N 16TH ST STE 110, PHOENIX, AZ 85020-4446
(602) 368-3282
(602) 314-4175
Mailing address
19207 N 41ST ST, PHOENIX, AZ 85050-3721
(602) 690-2890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7272
AZ
Other
Enumeration date
06/11/2017
Last updated
06/11/2017
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