Provider Demographics
NPI:1164036729
Name:BARRUS, KATHLEEN ALEXIS HOWELL (MS, CGC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ALEXIS HOWELL
Last Name:BARRUS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:ALEXIS
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13400 E SHEA BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-5452
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13400 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-5452
Practice Address - Country:US
Practice Address - Phone:602-717-7915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS