Doctor Name: | MRS. VALERIE ANN KROESEN |
NPI Number: | 1700011483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP NBTC |
License Number: | 4470 |
Business Practice Address: | 1035 Sweetwater Dr Johns Island, SC - 294554707 |
Business Phone Number: | 8435594588 |
Business Fax Number: | 8438998890 |
Mailing Address: | 1035 Sweetwater Dr, JOHNS ISLAND |
State: | SC |
Postal Code: | 294554707 |
Phone Number: | 8435594588 |
Fax Number: | 8438998890 |
NPI Enumeration Date: | 05/25/2009 |
NPI Last Update Date: | 05/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |