Doctor Name: | KYRA H CORDLE |
NPI Number: | 1346251295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 7095 |
Business Practice Address: | 1108 Sienna Sand Way Fort Mill, SC - 297089349 |
Business Phone Number: | 8039812045 |
Business Fax Number: | |
Mailing Address: | 212 W Matthews St, 105 MATTHEWS |
State: | NC |
Postal Code: | 281055441 |
Phone Number: | 8039812045 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 03/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |