Anderson, Mckenzye Jane

Anderson, Mckenzye Jane is an individual health care provider with primary practice located at 1805 W. Heavenly Ct. , Flagstaff AZ 86001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Anderson, Mckenzye Jane can be contacted via phone (928) 226-1563.

Contact Information

Primary practice address
1805 W. Heavenly Ct. Flagstaff AZ 86001
Phone: (928) 226-1563
Fax: (928) 526-0158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP4251 Arizona

Profile Details

NPI number 1942389853
LBN Legal business name Anderson, Mckenzye Jane
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Feb 19th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942389853 NPPES
Arizona Other 834285 AHCCCS #
Arizona Other SLP4251 AHCCCS #

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