Doctor Name: | KAITLYN GALISH |
NPI Number: | 1124258579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SP 9585 |
Business Practice Address: | 100 Office Park Dr Ste H Fairfield, OH - 450149213 |
Business Phone Number: | 5138746789 |
Business Fax Number: | 5138746787 |
Mailing Address: | 100 Office Park Dr Ste H, FAIRFIELD |
State: | OH |
Postal Code: | 450149213 |
Phone Number: | 5138746789 |
Fax Number: | 5138746787 |
NPI Enumeration Date: | 07/20/2009 |
NPI Last Update Date: | 05/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 9585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |