Doctor Name: | KATHRYN ELISABETH BROADBENT |
NPI Number: | 1689899569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | SP1827 |
Business Practice Address: | 60 Chamberlain Rd Scarborough, ME - 040701539 |
Business Phone Number: | 2078836680 |
Business Fax Number: | 2078836695 |
Mailing Address: | Po Box 1539, 60 Chamberlain Rd SCARBOROUGH |
State: | ME |
Postal Code: | 040701539 |
Phone Number: | 2078836680 |
Fax Number: | 2078836695 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1827 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
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 |