Healthcare Provider Details

I. General information

NPI: 1679405393
Provider Name (Legal Business Name): KATHY DANIELS BALZANO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 W STATE AVE
PHOENIX AZ
85021-7955
US

IV. Provider business mailing address

1717 W STATE AVE
PHOENIX AZ
85021-7955
US

V. Phone/Fax

Practice location:
  • Phone: 602-525-1244
  • Fax:
Mailing address:
  • Phone: 602-525-1244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KATHY DANIELS BALZANO
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 602-525-1244