Doctor Name: | KRISTIN MAHAN |
NPI Number: | 1366610917 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 9 Lacrue Ave Glen Mills, PA - 193421062 |
Business Phone Number: | 8005787906 |
Business Fax Number: | 8008785497 |
Mailing Address: | 9 Lacrue Ave, GLEN MILLS |
State: | PA |
Postal Code: | 193421062 |
Phone Number: | 8005787906 |
Fax Number: | 8008785497 |
NPI Enumeration Date: | 02/18/2008 |
NPI Last Update Date: | 02/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |