Provider Demographics
NPI:1558072009
Name:SABIN, KALI
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:SABIN
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 1:3501 W MINERAL BUTTE DR
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-3055
Mailing Address - Country:US
Mailing Address - Phone:480-907-9453
Mailing Address - Fax:
Practice Address - Street 1:3501 W MINERAL BUTTE DR
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-3055
Practice Address - Country:US
Practice Address - Phone:480-907-9453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant