Provider Demographics
NPI:1003882549
Name:WEXLER, KATHRYN F (AUD)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:F
Last Name:WEXLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASU SPEECH AND HEARING CLINIC
Mailing Address - Street 2:COOR HALL, RM. 2211
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85287-0102
Mailing Address - Country:US
Mailing Address - Phone:480-965-2913
Mailing Address - Fax:480-965-0076
Practice Address - Street 1:ASU SPEECH AND HEARING CLINIC
Practice Address - Street 2:COOR HALL, RM. 2211
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85287-0102
Practice Address - Country:US
Practice Address - Phone:480-965-2913
Practice Address - Fax:480-965-0076
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1178231H00000X, 237600000X, 231HA2400X
AZSLP1063235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ645690Medicaid