Doctor Name: | MISS DORCAS MINA KAYQUAPTEWA |
NPI Number: | 1386836419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | |
Business Practice Address: | North Highway 163 Kayenta, AZ - 860330337 |
Business Phone Number: | 9286972051 |
Business Fax Number: | 9286972095 |
Mailing Address: | P.o. Box 668, HOLBROOK |
State: | AZ |
Postal Code: | 86025 |
Phone Number: | 9285242123 |
Fax Number: | 9286972095 |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 09/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |