Provider Demographics
NPI:1508087156
Name:WRIGHT, KATHERINE NORA (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:NORA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3107 S DROMEDARY DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3649
Mailing Address - Country:US
Mailing Address - Phone:480-966-6415
Mailing Address - Fax:
Practice Address - Street 1:3107 S DROMEDARY DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-3649
Practice Address - Country:US
Practice Address - Phone:480-966-6415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ110235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist