Doctor Name: | MR. STEVEN P KOSTAS |
NPI Number: | 1316993132 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., CCC-SLP |
License Number: | SL006343L |
Business Practice Address: | 215 N Main St White River Junction, VT - 050090001 |
Business Phone Number: | 8022959363 |
Business Fax Number: | 8022966431 |
Mailing Address: | 215 N Main St, WHITE RIVER JUNCTION |
State: | VT |
Postal Code: | 050090001 |
Phone Number: | 8022959363 |
Fax Number: | 8022966431 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL006343L |
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 |