Individual
KATIE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS SLP
Contact information
Practice address
4719 S GRANITE ST, GILBERT, AZ 85296-6865
(480) 388-9483
Mailing address
4719 S GRANITE ST, GILBERT, AZ 85296-6865
(480) 388-9483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4851
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084099
—
AZ
Enumeration date
02/05/2007
Last updated
07/09/2007
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