Individual
KATIE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
11515 N 91ST ST UNIT 108, SCOTTSDALE, AZ 85260-6890
(480) 235-0369
Mailing address
11515 N 91ST ST UNIT 108, SCOTTSDALE, AZ 85260-6890
(480) 235-0369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4007
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
789703
—
AZ
Enumeration date
04/04/2007
Last updated
07/09/2007
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