Doctor Name: | MRS. KAREN LYNN FATICA |
NPI Number: | 1306047907 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SL004728L |
Business Practice Address: | 2301 Edinboro Rd Erie, PA - 165093409 |
Business Phone Number: | 8148607117 |
Business Fax Number: | 8148607157 |
Mailing Address: | 815 Stockbridge Dr, ERIE |
State: | PA |
Postal Code: | 165055305 |
Phone Number: | 8148383514 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL004728L |
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 |