Doctor Name: | KATHLEEN O'HARA HEMLOCK |
NPI Number: | 1043581531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP3197 |
Business Practice Address: | 122 Paul Dr Suite A San Rafael, CA - 949032030 |
Business Phone Number: | 4155774210 |
Business Fax Number: | |
Mailing Address: | Po Box 842, UKIAH |
State: | CA |
Postal Code: | 954820842 |
Phone Number: | 7074635546 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2012 |
NPI Last Update Date: | 01/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP3197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |