Doctor Name: | MRS. KATHRYN STEVENSON MAHAFFEY |
NPI Number: | 1649356007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSP, CCC-SLP |
License Number: | 3403 |
Business Practice Address: | 504 Brooks Rd Mauldin, SC - 296622747 |
Business Phone Number: | 8642557766 |
Business Fax Number: | |
Mailing Address: | 504 Brooks Rd, MAULDIN |
State: | SC |
Postal Code: | 296622747 |
Phone Number: | 8038041660 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2006 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |