Doctor Name: | KAREN DIETRICK |
NPI Number: | 1417292673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC/SLP, L |
License Number: | SL003572L |
Business Practice Address: | 200 Northpointe Cir Seven Fields, PA - 160467861 |
Business Phone Number: | 8008158577 |
Business Fax Number: | |
Mailing Address: | 200 Northpointe Cir, SEVEN FIELDS |
State: | PA |
Postal Code: | 160467861 |
Phone Number: | 8008158577 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2012 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL003572L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |