Crane, Kathleen Louise

Crane, Kathleen Louise is an individual health care provider with primary practice located at 514 W Wade Ln , Payson AZ 85541-4886. 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. Crane, Kathleen Louise can be contacted via phone (928) 472-5800.

Contact Information

Primary practice address
514 W Wade Ln Payson AZ 85541-4886
Fax: (928) 472-2008
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLPL4005 Arizona

Profile Details

NPI number 1457497489
LBN Legal business name Crane, Kathleen Louise
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 19 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 1457497489 NPPES
Arizona MEDICAID 831116

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