Doctor Name: | GEORGE KLUG |
NPI Number: | 1174918841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, SLP |
License Number: | 504 |
Business Practice Address: | 5004 Thomas Dr Unit 1808 Panama City Beach, FL - 324086969 |
Business Phone Number: | 9076028719 |
Business Fax Number: | |
Mailing Address: | 5004 Thomas Dr., Unit 1808 PANAMA CITY BEACH |
State: | FL |
Postal Code: | 32408 |
Phone Number: | 9076028719 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2015 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 504 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
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 |