Doctor Name: | KATRINNA MONYETTE ANTHONY |
NPI Number: | 1174991798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 10556 |
Business Practice Address: | 300 East Arlington Blvd Suite 2 Greenville, NC - 27858 |
Business Phone Number: | 2523555535 |
Business Fax Number: | 8886044216 |
Mailing Address: | Po Box 2417, WINTERVILLE |
State: | NC |
Postal Code: | 28590 |
Phone Number: | 2523555535 |
Fax Number: | 8886044216 |
NPI Enumeration Date: | 09/14/2015 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |