Doctor Name: | SUSAN KATHRYN CARKOSKI |
NPI Number: | 1568597458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | SL008123 |
Business Practice Address: | 71 W Church St Stevens, PA - 175789203 |
Business Phone Number: | 7173365262 |
Business Fax Number: | |
Mailing Address: | 242 Muddy Creek Church Rd, DENVER |
State: | PA |
Postal Code: | 175179328 |
Phone Number: | 7173363873 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008123 |
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 |