Doctor Name: | MRS. KRISTIN KUGLER HOLOHAN |
NPI Number: | 1225311673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SL009490 |
Business Practice Address: | 25 S Broad St Suite 101 Nazareth, PA - 180642255 |
Business Phone Number: | 6103658989 |
Business Fax Number: | |
Mailing Address: | 25 S Broad St, Suite 101 NAZARETH |
State: | PA |
Postal Code: | 180642255 |
Phone Number: | 6103658989 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009490 |
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 |