Provider Demographics
NPI:1255529020
Name:KEENEY, DENISE (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:KEENEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 N LONGMORE STREET
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6912
Mailing Address - Country:US
Mailing Address - Phone:480-650-1152
Mailing Address - Fax:480-905-2102
Practice Address - Street 1:724 N LONGMORE ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6912
Practice Address - Country:US
Practice Address - Phone:480-650-1152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP 5226235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist