Doctor Name: | MRS. KATHERINE MCCULLOUGH MARION |
NPI Number: | 1689899411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 7133 |
Business Practice Address: | 915 Benner Pike State College, PA - 168017395 |
Business Phone Number: | 8142310138 |
Business Fax Number: | 8142311390 |
Mailing Address: | 28 Pearl St, HOLLISTON |
State: | MA |
Postal Code: | 017461617 |
Phone Number: | 7742330415 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 10/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7133 |
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 |