Doctor Name: | KEARSTON HEALEY |
NPI Number: | 1073922423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL011869 |
Business Practice Address: | 705 Nandy Dr Apt 5 Kingston, PA - 187045656 |
Business Phone Number: | 5706067280 |
Business Fax Number: | |
Mailing Address: | 312 N Washington Ave, SCRANTON |
State: | PA |
Postal Code: | 185031555 |
Phone Number: | 5703431950 |
Fax Number: | 5703431951 |
NPI Enumeration Date: | 08/11/2014 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL011869 |
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 |