Doctor Name: | MISS KATHRYN MARIE SANDY |
NPI Number: | 1003179995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CF-SLP |
License Number: | 2202006676 |
Business Practice Address: | 1 Park West Cir Suite 108 Midlothian, VA - 231145551 |
Business Phone Number: | 8009699265 |
Business Fax Number: | 8044822647 |
Mailing Address: | 4820 Cool Spring Dr, CHESTER |
State: | VA |
Postal Code: | 238314224 |
Phone Number: | 8042431060 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2012 |
NPI Last Update Date: | 06/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |