Doctor Name: | MRS. TOVE KUSSMAN |
NPI Number: | 1174892103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2011024399 |
Business Practice Address: | 8034 Lakeshore Dr Cedar Hill, MO - 630163442 |
Business Phone Number: | 6362120230 |
Business Fax Number: | |
Mailing Address: | 8034 Lakeshore Dr, CEDAR HILL |
State: | MO |
Postal Code: | 630163442 |
Phone Number: | 6362120230 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2011 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2011024399 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |