Doctor Name: | MS. KATHLEEN ELIZABETH FITZGERALD |
NPI Number: | 1699836916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | LL00001513 |
Business Practice Address: | 17535 15th Ave Ne Shoreline, WA - 981553801 |
Business Phone Number: | 2064409708 |
Business Fax Number: | 2062602414 |
Mailing Address: | 4512 6th Ave Nw, SEATTLE |
State: | WA |
Postal Code: | 981074420 |
Phone Number: | 2062971496 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00001513 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |