Provider Demographics
NPI:1770922213
Name:VERDUGO, KATHERINE VANWINKLE (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:VANWINKLE
Last Name:VERDUGO
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 S NAPA LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-3539
Mailing Address - Country:US
Mailing Address - Phone:480-600-1910
Mailing Address - Fax:
Practice Address - Street 1:2040 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE 1, PBM 500
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7075
Practice Address - Country:US
Practice Address - Phone:602-323-0894
Practice Address - Fax:602-445-9337
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP8354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist