Doctor Name: | MRS. CHRISTINE MARIE KNUDSEN |
NPI Number: | 1467475533 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ST |
License Number: | SP 8073 |
Business Practice Address: | 2821 Whipple Ave Nw Canton, OH - 447086215 |
Business Phone Number: | 3304781752 |
Business Fax Number: | 3304781763 |
Mailing Address: | 4645 Belpar St Nw, CANTON |
State: | OH |
Postal Code: | 447183602 |
Phone Number: | 3304934210 |
Fax Number: | 3304934744 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 8073 |
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 |