Mcgough, Krysten

Mcgough, Krysten is an individual health care provider with primary practice located at 6330 W Thunderbird Rd , Glendale AZ 85306-4002. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Assistant is her primary health care specialty. Mcgough, Krysten can be contacted via phone (406) 531-5402.

Contact Information

Primary practice address
6330 W Thunderbird Rd Glendale AZ 85306-4002
Phone: (406) 531-5402
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X A01821 Maryland
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA12918 Arizona

Profile Details

NPI number 1710286182
LBN Legal business name Mcgough, Krysten
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2011
Last updated Sep 7th, 2021 - about 5 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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