Doctor Name: | BETH ELLEN KROUSE |
NPI Number: | 1326350844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 22004875A |
Business Practice Address: | 1800 Wabash Ave Suite 200 Marion, IN - 46952 |
Business Phone Number: | 7656513229 |
Business Fax Number: | |
Mailing Address: | 1800 Wabash Ave, Suite 200 MARION |
State: | IN |
Postal Code: | 46952 |
Phone Number: | 7656513229 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2010 |
NPI Last Update Date: | 07/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004875A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |