Doctor Name: | MARY KIVETT |
NPI Number: | 1124156674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | SL007445 |
Business Practice Address: | 9810 Bluegrass Pkwy Louisville, KY - 402991906 |
Business Phone Number: | 5025849781 |
Business Fax Number: | 5025892409 |
Mailing Address: | 9951 Vieux Carre Dr, LOUISVILLE |
State: | KY |
Postal Code: | 402233279 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007445 |
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 |