Individual
KIM RUDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 E GLENN ST, TUCSON, AZ 85712-1319
(520) 232-8000
Mailing address
17100 E SHEA BLVD STE 225, FOUNTAIN HILLS, AZ 85268-6744
(520) 603-0266
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA6913
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLPL6074
AZ
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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