Individual
MS. THERESE MAE UTHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
240 W THOMAS RD, SUITE 301, PHOENIX, AZ 85013-4407
(602) 406-4931
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767293
—
AZ
Enumeration date
10/31/2007
Last updated
10/15/2013
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