Organization Name: | KIDZ R FUN, INC. |
NPI Number: | 1679692347 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN S. KUPHALL (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 12002 Stanley Ter Fishers |
State: | IN US |
Postal Code: | 460374185 |
Phone Number: | 7657171524 |
Fax Number: | 3178450374 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003071A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |