Doctor Name: | EILEEN MARIE KRIEG |
NPI Number: | 1215203096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SL010779 |
Business Practice Address: | 489 Devon Park Drive #301 Wayne, PA - 19087 |
Business Phone Number: | 4843677131 |
Business Fax Number: | 2158798424 |
Mailing Address: | 134 E State St, #1 MEDIA |
State: | PA |
Postal Code: | 190633431 |
Phone Number: | 2173906128 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL010779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |