Doctor Name: | STEPHANIE KIRK |
NPI Number: | 1578910154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SL012913 |
Business Practice Address: | 3390 Saxonburg Blvd Suite 250 Glenshaw, PA - 151163160 |
Business Phone Number: | 4124067461 |
Business Fax Number: | 4124068086 |
Mailing Address: | 3390 Saxonburg Blvd, Suite 250 GLENSHAW |
State: | PA |
Postal Code: | 151163160 |
Phone Number: | 4124067461 |
Fax Number: | 4124068086 |
NPI Enumeration Date: | 05/24/2016 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL012913 |
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 |