Provider Demographics
NPI:1477826832
Name:BARNETT, KATHERINE E (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:BARNETT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 E UNION HILLS DR
Mailing Address - Street 2:2031
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3363
Mailing Address - Country:US
Mailing Address - Phone:319-541-2564
Mailing Address - Fax:
Practice Address - Street 1:4750 E UNION HILLS DR
Practice Address - Street 2:2031
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3363
Practice Address - Country:US
Practice Address - Phone:319-541-2564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP6833235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist