Healthcare Provider Details
I. General information
NPI: 1700455029
Provider Name (Legal Business Name): CAROLINE HORENSTEIN SLP-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/21/2021
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11000 N SCOTTSDALE RD STE 220
SCOTTSDALE AZ
85254-5269
US
IV. Provider business mailing address
3918 E OAK ST
PHOENIX AZ
85008-2251
US
V. Phone/Fax
- Phone: 480-256-9666
- Fax:
- Phone: 412-302-8441
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SLP13029 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: