Doctor Name: | THERESA KAUL |
NPI Number: | 1629116231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | SL004828L |
Business Practice Address: | 4179 Mitchell Rd New Castle, PA - 161054417 |
Business Phone Number: | 7246578692 |
Business Fax Number: | 7246579011 |
Mailing Address: | 4179 Mitchell Rd, NEW CASTLE |
State: | PA |
Postal Code: | 161054417 |
Phone Number: | 7246578692 |
Fax Number: | 7246579011 |
NPI Enumeration Date: | 02/03/2007 |
NPI Last Update Date: | 05/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL004828L |
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 |