KERRY MACK


Address: 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694
Phone: 4804190848

KERRY MACK (NPI# 1518222678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518222678
Entity Type Individual
Full Name KERRY MACK
Credential M.S., SLP
Practice Address 10049 E Dynamite Blvd Ste 110
Scottsdale
AZ 85262-3694
Mailing Address 1109 W Newport Beach Dr
Gilbert
AZ 85233-6742
Practice Telephone 4804190848
Mailing Telephone 4802167433
Enumeration Date 2012-07-05
Last Update Date 2012-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SLP7367 AZ Speech, Language and Hearing Service Providers

Office Location

Street Address 10049 E DYNAMITE BLVD STE 110
City SCOTTSDALE
State AZ
Zip Code 85262-3694

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760024624 Molly Friedley Speech-Language Pathologist 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 2019-10-11
1295381952 Amirra Johnson Occupational Therapist 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 2019-08-16
1841709722 Lauren Topolski Occupational Therapist 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 2017-09-24
1831628155 Andrea Rose Faggionato Speech-Language Pathologist 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 2017-06-09
1891156881 Kim Earnhart Speech-Language Pathologist 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 2016-03-17
1790117455 Chana Marie King Occupational Therapy Assistant 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 2013-08-05
1841633724 Amy Kirchner Speech-Language Pathologist 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 2013-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043773666 Helpful Hands Home Care Home Health Aide 36595 N Montalcino Road, Scottsdale, AZ 85262 2019-04-10
1548789415 Paige Richelle Breeden Behavioral Analyst 14608 E Skinner Dr, Scottsdale, AZ 85262 2017-09-12
1518342625 Golf Health & Performance LLC Physical Therapist 10225 E Desert Mountain Dr, Scottsville, AZ 85262 2015-07-30
1649555608 Terry Stephen Vitez Anesthesiology 9626 E. Taos Drive, Scottsdale, AZ 85262 2011-10-20
1578855573 First Lifeconnect, LLC Emergency Response System Companies 13857 E Hawknest Road, Scottsdale, AZ 85262 2011-05-09
1801040878 Matthew David Wickstrom Psychologist 27880 N 64th Street, Scottsdale, AZ 85262 2008-11-04
1639332802 New Hope Ultimate Clinic/Center 13735 E Brookhart Way, Scottsdale, AZ 85262 2008-07-08
1548432701 Talia Lavor Physician Assistant 28150 N Alma School Pkwy, Suite 103-455, Scottsdale, AZ 85262 2008-03-27
1548485907 Lynn Klein Psychologist 4222 E. Camelback Rd, Suite 230h, Scottsdale, AZ 85262 2007-04-13
1912040510 Jamie Linn Hestrup Social Worker 5802 E. Dove Valley Road, Scottsdale, AZ 85262 2007-02-14
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992319974 Traci Marie Jones Speech-Language Pathologist 16819 N 50th Way, Scottsdale, AZ 85254-1089 2020-09-07
1235747841 Barbara M Bloom Speech-Language Pathologist 5932 E Phelps Rd, Scottsdale, AZ 85254-9223 2020-07-20
1386110625 Katelyn Scott Speech-Language Pathologist 14050 N Northsight Blvd, Scottsdale, AZ 85260-3601 2018-10-14
1285117812 Arizona Pediatric Feeding & Therapy Speech-Language Pathologist 10592 E Firewheel Dr, Scottsdale, AZ 85255-1913 2018-09-10
1902386873 Communication Zone Speech-Language Pathologist 8485 E Mcdonald Dr # 251, Scottsdale, AZ 85250-6335 2018-08-20
1053890541 Irene Mitchell Speech-Language Pathologist 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 2018-08-07
1114431996 Anthony Michael Zasimovich IIi Speech-Language Pathologist 10190 E Cactus Rd, Scottsdale, AZ 85260-5114 2017-12-01
1972027290 Ashley Annmarie Richardson Speech-Language Pathologist 6731 E Granada Rd, Scottsdale, AZ 85257 2017-07-28
1851814735 Shoshannah Raquel Fowle Speech-Language Pathologist 7355 E Thompson Peak Pkwy Apt V2010, Scottsdale, AZ 85255-4478 2017-07-21
1417479445 Kellene Anne Coffey Speech-Language Pathologist 5111 N Scottsdale Rd Ste 105, Scottsdale, AZ 85250-7076 2017-07-11
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Competitor

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City SCOTTSDALE
Zip Code 85262

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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