Doctor Name: | MRS. COURTNEY PAULINE KOHARCHICK |
NPI Number: | 1417113598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 46001737A |
Business Practice Address: | 302 N Johnson Rd Mooresville Mooresville, IN - 461585504 |
Business Phone Number: | 3178319033 |
Business Fax Number: | |
Mailing Address: | 2297 Southward Dr, Greenwood GREENWOOD |
State: | IN |
Postal Code: | 461433421 |
Phone Number: | 5743292310 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2008 |
NPI Last Update Date: | 07/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 46001737A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
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 |