Doctor Name: | JO KOWALSKI |
NPI Number: | 1154537819 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 516-154 |
Business Practice Address: | 1119 N Wisconsin St Port Washington, WI - 530741209 |
Business Phone Number: | 2622855892 |
Business Fax Number: | |
Mailing Address: | 255 High Forest Dr, CEDARBURG |
State: | WI |
Postal Code: | 530129140 |
Phone Number: | 2623777332 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 516-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |