| Doctor Name: | MISS NICOLE LEE KALANAVICH |
| NPI Number: | 1093095846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 06598 |
| Business Practice Address: | 707 N Broadway Kennedy Krieger Institute Baltimore, MD - 212051832 |
| Business Phone Number: | 4439239400 |
| Business Fax Number: | 4439239405 |
| Mailing Address: | 2931 E Biddle St, Patient Accounting BALTIMORE |
| State: | MD |
| Postal Code: | 212133939 |
| Phone Number: | 4439231870 |
| Fax Number: | 4439231895 |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 06598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| 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 |