Doctor Name: | KATIE EDDINS |
NPI Number: | 1407239528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 004510 |
Business Practice Address: | 222 Williams St E Apt 326 Glastonbury, CT - 060332306 |
Business Phone Number: | 8603854327 |
Business Fax Number: | |
Mailing Address: | 222 Williams St E, Apt 326 GLASTONBURY |
State: | CT |
Postal Code: | 060332306 |
Phone Number: | 8603854327 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |