Doctor Name: | MS. COURTNEY YOSHIKAWA-KULLER |
NPI Number: | 1043361710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2202000996 |
Business Practice Address: | 620 John Paul Jones Cir Portsmouth, VA - 237082111 |
Business Phone Number: | 7579535652 |
Business Fax Number: | |
Mailing Address: | 3948 Driftwood Way, WILLIAMSBURG |
State: | VA |
Postal Code: | 231887897 |
Phone Number: | 7572580116 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202000996 |
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 |