Doctor Name: | MS. KRISTEN MICHELE O'LEARY |
NPI Number: | 1033555172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL011480 |
Business Practice Address: | 551 W Lancaster Ave Haverford, PA - 190411419 |
Business Phone Number: | 6105254000 |
Business Fax Number: | |
Mailing Address: | 100 N 17th St, Apt. 908 PHILADELPHIA |
State: | PA |
Postal Code: | 191032736 |
Phone Number: | 5617155108 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL011480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |