Doctor Name: | KATHRYN P WONG |
NPI Number: | 1598724205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 10127 |
Business Practice Address: | 4546 El Camino Real Suite 218 Los Altos, CA - 940221099 |
Business Phone Number: | 6502457170 |
Business Fax Number: | |
Mailing Address: | 912 Rich Ave, Apt. #3 MOUNTAIN VIEW |
State: | CA |
Postal Code: | 940402472 |
Phone Number: | 6502457170 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |