Doctor Name: | MRS. HEATHER KAY KOOLE |
NPI Number: | 1669617023 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | |
Business Practice Address: | 1000 Oakland Dr Fl 3 Kalamazoo, MI - 490081282 |
Business Phone Number: | 2693877004 |
Business Fax Number: | 2693877026 |
Mailing Address: | 1000 Oakland Dr Fl 3, KALAMAZOO |
State: | MI |
Postal Code: | 490081282 |
Phone Number: | 2693877004 |
Fax Number: | 2693877026 |
NPI Enumeration Date: | 12/12/2008 |
NPI Last Update Date: | 12/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |