Doctor Name: | CONNIE GASBARRE |
NPI Number: | 1285990457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-CCC/SLP |
License Number: | SL010315 |
Business Practice Address: | 100 High Point Dr Kane, PA - 167359704 |
Business Phone Number: | 8148376706 |
Business Fax Number: | 8148376075 |
Mailing Address: | 113 Park Ave, KANE |
State: | PA |
Postal Code: | 167351227 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/02/2012 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL010315 |
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 |