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TAMI JOAN KULKA
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1255478301
Individual Registrant: TAMI JOAN KULKA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
343 N. CARLISLE AVE. SOMERTON, AZ 85350 US
Tel: 928-341-6041 Fax: 928-341-6099
Tel: 928-341-6041 Fax: 928-341-6099
Contact information for business:
10340 S TYPHOON AVE YUMA, AZ 85365-5700 US
Tel: 928-304-5179 Fax: 928-341-6099
Tel: 928-304-5179 Fax: 928-341-6099
Registration Information:
NPI: 1255478301
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AZ |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| AHCCCS PROVIDER NUMBER | 931958 | AZ | 01 |
