Provider Demographics
NPI:1396253233
Name:DEWEASE, KARA KAREEN (AUD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:KAREEN
Last Name:DEWEASE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9097 E DESERT COVE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6280
Mailing Address - Country:US
Mailing Address - Phone:480-273-8503
Mailing Address - Fax:480-214-9929
Practice Address - Street 1:2081 W FRYE RD STE 100
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6278
Practice Address - Country:US
Practice Address - Phone:480-753-1459
Practice Address - Fax:480-214-9929
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1082231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist