Provider Demographics
NPI:1326160615
Name:AWAD, KATRIN
Entity Type:Individual
Prefix:
First Name:KATRIN
Middle Name:
Last Name:AWAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16909 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-6015
Mailing Address - Country:US
Mailing Address - Phone:623-925-2324
Mailing Address - Fax:
Practice Address - Street 1:15 WEST CORAL GABLES DRIVE
Practice Address - Street 2:LOOKOUT MOUNTAIN SCHOOL
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023
Practice Address - Country:US
Practice Address - Phone:602-896-5913
Practice Address - Fax:602-896-5920
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)