Doctor Name: | KATHERINE KOUGENTAKIS |
NPI Number: | 1063846590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-CCC-SLP |
License Number: | |
Business Practice Address: | 111 E 210th St Bronx, NY - 104672401 |
Business Phone Number: | 7189206663 |
Business Fax Number: | |
Mailing Address: | 226 E 83rd St, NEW YORK |
State: | NY |
Postal Code: | 100282832 |
Phone Number: | 6468521352 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2013 |
NPI Last Update Date: | 03/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |