Doctor Name: | MRS. KIMBERLY M ASTROLOGO |
NPI Number: | 1740494020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC |
License Number: | YSO1845 |
Business Practice Address: | 151 Route 10 East Suite 201 Succasunna, NJ - 07876 |
Business Phone Number: | 9732525437 |
Business Fax Number: | 9732524503 |
Mailing Address: | 37 Hance St, WHARTON |
State: | NJ |
Postal Code: | 078852005 |
Phone Number: | 9733665906 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | YSO1845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |