MEDICARE: MS. KATHRYN F. WEXLER AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	DA1178	AZ
2	237600000X	Audiologist-Hearing Aid Fitter	DA1178	AZ
3	231HA2400X	Assistive Technology Practitioner Audiologist	DA1178	AZ
4	235Z00000X	Speech-Language Pathologist	SLP1063	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003882549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHRYN F. WEXLER AU.D.

Provider Business Mailing Address
First Line	:	ASU SPEECH AND HEARING CLINIC
Second Line	:	COOR HALL, RM. 2211
City	:	TEMPE
State	:	AZ
Zip	:	85287-0102
Country	:	US
Telephone Number	:	480-965-2913
Fax Number	:	480-965-0076

Provider Business Practice Location Address
First Line	:	ASU SPEECH AND HEARING CLINIC
Second Line	:	COOR HALL, RM. 2211
City	:	TEMPE
State	:	AZ
Zip	:	85287-0102
Country	:	US
Telephone Number	:	480-965-2913
Fax Number	:	480-965-0076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	04/10/2017

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