Doctor Name: | KAYSIE LEIGH HART |
NPI Number: | 1013262930 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED.CCC-SLP |
License Number: | SLP003894 |
Business Practice Address: | 202 W Park Ave Valdosta, GA - 316022507 |
Business Phone Number: | 2292538500 |
Business Fax Number: | 2292538522 |
Mailing Address: | 202 W Park Ave, VALDOSTA |
State: | GA |
Postal Code: | 316022507 |
Phone Number: | 2292538500 |
Fax Number: | 2292538522 |
NPI Enumeration Date: | 07/17/2012 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP003894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |