Individual
LOUISE A KOZIOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1156
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470980
—
AZ
Enumeration date
03/30/2007
Last updated
03/29/2019
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