Doctor Name: | MRS. KATHLEEN DENISE KING |
NPI Number: | 1629377783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP/CCC |
License Number: | 006737-1 |
Business Practice Address: | 29-01 216th Street St. Mary's Hospital For Children Bayside, NY - 113602899 |
Business Phone Number: | 7182818500 |
Business Fax Number: | |
Mailing Address: | 14128 255th St, ROSEDALE |
State: | NY |
Postal Code: | 114222642 |
Phone Number: | 7189499238 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2011 |
NPI Last Update Date: | 03/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 006737-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |