Doctor Name: | CAROLYN H NIEDERKOHR |
NPI Number: | 1497744494 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, CCC-SLP |
License Number: | SA1958 |
Business Practice Address: | 4907 Nw 43rd St Suite C Gainesville, FL - 326062007 |
Business Phone Number: | 3523720047 |
Business Fax Number: | 3523724701 |
Mailing Address: | 4907 Nw 43rd St, Suite C GAINESVILLE |
State: | FL |
Postal Code: | 326062007 |
Phone Number: | 3523720047 |
Fax Number: | 3523724701 |
NPI Enumeration Date: | 10/21/2005 |
NPI Last Update Date: | 07/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA1958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |