Organization Name: | KRISTINE L KENNEY-MICHAUD |
NPI Number: | 1669648598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTINE L KENNEY-MICHAUD (OWNER) |
Mailing Address: | 1610 Grand Army Hwy Somerset |
State: | MA US |
Postal Code: | 027261210 |
Phone Number: | 5086779797 |
Fax Number: | 5086779922 |
NPI Enumeration Date: | 04/30/2008 |
NPI Last Update Date: | 12/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |