Doctor Name: | KIMBERLY ANN LUCAS |
NPI Number: | 1376776203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | SLP-1216 |
Business Practice Address: | 422 23rd St Oak Hill, WV - 259012830 |
Business Phone Number: | 3046584153 |
Business Fax Number: | |
Mailing Address: | 109 Minden Ave, OAK HILL |
State: | WV |
Postal Code: | 259013107 |
Phone Number: | 3042221783 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2009 |
NPI Last Update Date: | 08/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |