Doctor Name: | MRS. KATHLEEN FOREHAND HALL |
NPI Number: | 1003883497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC SLP |
License Number: | 119 |
Business Practice Address: | 1327 Kalakaket Street Fairbanks, AK - 99709 |
Business Phone Number: | 9074524517 |
Business Fax Number: | 9074524263 |
Mailing Address: | Po Box 265, ESTER |
State: | AK |
Postal Code: | 99725 |
Phone Number: | 9074576166 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |