Provider Demographics
NPI:1538514765
Name:CHRISTENSEN, DOROTHY TAUHLEE (BS)
Entity Type:Individual
Prefix:MISS
First Name:DOROTHY
Middle Name:TAUHLEE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13440 N 44TH ST APT 2008
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-6386
Mailing Address - Country:US
Mailing Address - Phone:307-629-0736
Mailing Address - Fax:
Practice Address - Street 1:13440 N 44TH ST APT 2008
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-6386
Practice Address - Country:US
Practice Address - Phone:307-629-0736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA99182355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant