Doctor Name: | SOPHIE SHI-WEN KAIKO |
NPI Number: | 1376898643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 8647 |
Business Practice Address: | 16 Chestnut St Suite 310 Foxboro, MA - 020351472 |
Business Phone Number: | 5086983709 |
Business Fax Number: | 5086983785 |
Mailing Address: | 41 Ivaloo St, Apt. 3 SOMERVILLE |
State: | MA |
Postal Code: | 021433650 |
Phone Number: | 2032467516 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2012 |
NPI Last Update Date: | 07/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |