Doctor Name: | MRS. STEPHANIE ANN KERNER |
NPI Number: | 1679615082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-SLP-CCC |
License Number: | SL008714 |
Business Practice Address: | 201 State St Speech Department Erie, PA - 165500002 |
Business Phone Number: | 8148773971 |
Business Fax Number: | 8148772659 |
Mailing Address: | 4528 Harding Dr, ERIE |
State: | PA |
Postal Code: | 165091355 |
Phone Number: | 8148773971 |
Fax Number: | 8148772659 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008714 |
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 |