| Nk Speech Therapy And Behavior Support Pllc | |
|
7776 S Pointe Pkwy W Ste 250 Phoenix AZ 85044-5428 | |
| (480) 518-7073 | |
| Not Available |
| Full Name | Nk Speech Therapy And Behavior Support Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7776 S Pointe Pkwy W Ste 250, Phoenix, Arizona |
| Authorized Official Name and Position | Nicole Kavanagh (OWNER) |
| Authorized Official Contact | 4805187073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nk Speech Therapy And Behavior Support Pllc 5783 S Fawn Ave Gilbert AZ 85298-0848 Ph: () - | Nk Speech Therapy And Behavior Support Pllc 7776 S Pointe Pkwy W Ste 250 Phoenix AZ 85044-5428 Ph: (480) 518-7073 |
| NPI Number | 1104561471 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Medicare PECOS PAC ID | 5890176291 |
|---|---|
| Medicare Enrollment ID | O20220716000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104561471 | NPI | - | NPPES |
| Provider Name | Nicole Kavanagh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922328780 PECOS PAC ID: 5294077798 Enrollment ID: I20190502002592 |
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