Doctor Name: | KATHLEEN LYNN GLAD |
NPI Number: | 1487795308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 588 |
Business Practice Address: | 2810 2nd Ave N Moorhead, MN - 56560 |
Business Phone Number: | 2182330361 |
Business Fax Number: | 2182338307 |
Mailing Address: | 754 246th St S, HAWLEY |
State: | MN |
Postal Code: | 565499645 |
Phone Number: | 2184833057 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 588 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
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 |