Doctor Name: | KATHLEEN ELIZABETH WERMANN |
NPI Number: | 1710291745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 018392 |
Business Practice Address: | 165 N Columbus Ave Mount Vernon, NY - 105531101 |
Business Phone Number: | 9146655000 |
Business Fax Number: | |
Mailing Address: | 2546 Regent Pl, NORTH BELLMORE |
State: | NY |
Postal Code: | 117101212 |
Phone Number: | 5165541498 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2010 |
NPI Last Update Date: | 08/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 018392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |