Katherine Rose Herrera

Individual provider Active NPI Speech-Language Assistant · Somerton, AZ

NPI 1467012005 · NPPES record last updated Jun 17, 2019

Key facts

NPI
1467012005
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SLPA11877 (AZ)
Practice address
748 E Patricia St.
748 E. Patricia St.
Somerton, AZ 85350-2189
Phone
(928) 287-5492
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLPA11877AZMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA11877 AZ Yes

Addresses

Primary practice location

748 E Patricia St.
748 E. Patricia St.
Somerton, AZ 85350-2189

Mailing address

PO Box 2189
Somerton, AZ 85350-2189
Phone (928) 287-5492

Other providers in Somerton, AZ

All providers in Somerton, AZ · Speech-Language Assistant in Arizona

Sources for this page

Verify at the official NPI Registry.