Organization Name: | KITSAP SPEECH LANGUAGE PATHOLOGY SERVICES |
NPI Number: | 1295953909 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GWENDOLYN MARIE TORGERSON (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 1008 Bethel Ave Suite E Port Orchard |
State: | WA US |
Postal Code: | 983664235 |
Phone Number: | 3608712076 |
Fax Number: | 3068950203 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |