Doctor Name: | KATHY CLEVINGER-MAGIN |
NPI Number: | 1326286865 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ST |
License Number: | SA2999 |
Business Practice Address: | 14031 Del Webb Boulevard Summerfield, FL - 344917957 |
Business Phone Number: | 3524330091 |
Business Fax Number: | 3524330676 |
Mailing Address: | P O Box 4559, OCALA |
State: | FL |
Postal Code: | 344784559 |
Phone Number: | 3524330091 |
Fax Number: | 3524330676 |
NPI Enumeration Date: | 01/21/2009 |
NPI Last Update Date: | 08/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA2999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |