Doctor Name: | STEPHANIE ROSE KING |
NPI Number: | 1720345283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 33600 W 85th St De Soto, KS - 660188118 |
Business Phone Number: | 9135831266 |
Business Fax Number: | |
Mailing Address: | 101 E State St, KENNETT SQUARE |
State: | PA |
Postal Code: | 193483109 |
Phone Number: | 1866745227 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2012 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |