Doctor Name: | KATE ALLISON HURST |
NPI Number: | 1063884229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2202002127 |
Business Practice Address: | 4530 Walney Road Suite 203 Chantilly, VA - 20151 |
Business Phone Number: | 7034665533 |
Business Fax Number: | 7034665316 |
Mailing Address: | 4530 Walney Road, Suite 203 CHANTILLY |
State: | VA |
Postal Code: | 20151 |
Phone Number: | 7034665533 |
Fax Number: | 7034665316 |
NPI Enumeration Date: | 10/28/2015 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202002127 |
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 |