Doctor Name: | MRS. KAITLYN STEVENSON |
NPI Number: | 1396147385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,CCC-SLP |
License Number: | 10080 |
Business Practice Address: | 165 Brooklyn Ave Doylestown, OH - 442301204 |
Business Phone Number: | 3306582522 |
Business Fax Number: | 3306583644 |
Mailing Address: | 165 Brooklyn Ave, DOYLESTOWN |
State: | OH |
Postal Code: | 442301204 |
Phone Number: | 3306582522 |
Fax Number: | 3306583644 |
NPI Enumeration Date: | 09/22/2014 |
NPI Last Update Date: | 09/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |