Costello, Katelyn Marie
Costello, Katelyn Marie is an individual health care provider with primary practice located at 2781 Osborn Dr , Lake Havasu City AZ 86406-8629. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Costello, Katelyn Marie can be contacted via phone (928) 505-5552.Contact Information
Primary practice address
2781 Osborn Dr
Lake Havasu City AZ 86406-8629
Phone: (928) 505-5552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1831447911 |
|---|---|
| LBN Legal business name | Costello, Katelyn Marie |
| Credentials | M.A. CF |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2012 |
| Last updated | Aug 21st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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