Doctor Name: | KAREN HETRICK |
NPI Number: | 1144236050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2484 |
Business Practice Address: | 10000 W 75th St Ste 121 Shawnee Mission, KS - 662042241 |
Business Phone Number: | 9133627518 |
Business Fax Number: | 9133627302 |
Mailing Address: | 10000 W 75th St Ste 121, SHAWNEE MISSION |
State: | KS |
Postal Code: | 662042241 |
Phone Number: | 9133627518 |
Fax Number: | 9133627302 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2484 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |