Doctor Name: | ENNA KADOCH |
NPI Number: | 1396170270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ 6084 |
Business Practice Address: | 1897 Ne 146th St North Miami, FL - 331811423 |
Business Phone Number: | 3059494191 |
Business Fax Number: | |
Mailing Address: | 9289 Emerson Ave, SURFSIDE |
State: | FL |
Postal Code: | 331543033 |
Phone Number: | 3053437331 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2013 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ 6084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |