Doctor Name: | MISS KAITLIN VICTORIA ANDERSON |
NPI Number: | 1275800633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SL010511 |
Business Practice Address: | 200 Lothrop St Suite 234 Pittsburgh, PA - 152132536 |
Business Phone Number: | 4128476668 |
Business Fax Number: | |
Mailing Address: | 924 Farragut St, Apt A PITTSBURGH |
State: | PA |
Postal Code: | 152062257 |
Phone Number: | 3025470390 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL010511 |
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 |