Doctor Name: | MRS. KATHRYN DOSTIE |
NPI Number: | 1306173604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-A |
License Number: | SAS1817 |
Business Practice Address: | 74 Rock Ridge Run Kimberly A. Egberts & Assoc. Cumberland Center, ME - 04021 |
Business Phone Number: | 2078294763 |
Business Fax Number: | 2078294763 |
Mailing Address: | 8 Congress St, LISBON |
State: | ME |
Postal Code: | 042506410 |
Phone Number: | 2073532278 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2009 |
NPI Last Update Date: | 11/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SAS1817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |