Doctor Name: | LAURELIN KIRBY |
NPI Number: | 1144482357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 16557 |
Business Practice Address: | 2001 Dwight Way Berkeley, CA - 947042608 |
Business Phone Number: | 5102044444 |
Business Fax Number: | |
Mailing Address: | 1311 Talbot Ave, BERKELEY |
State: | CA |
Postal Code: | 947021033 |
Phone Number: | 5103812234 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2008 |
NPI Last Update Date: | 06/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 16557 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |