Individual
MRS. KAREN ANN FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
340 N MOUNT VERNON AVE, PRESCOTT, AZ 86301-2620
(928) 776-4349
(928) 776-1369
Mailing address
340 N MOUNT VERNON AVE, PRESCOTT, AZ 86301-2620
(928) 776-4349
(928) 776-1369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 0736
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801606
AHCCCS
AZ
Enumeration date
05/21/2007
Last updated
07/08/2007
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