Doctor Name: | ALYSSA KAJKOWSKI |
NPI Number: | 1760797476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP1756 |
Business Practice Address: | 42 Stetson Rd Corinna, ME - 049283623 |
Business Phone Number: | 2072784263 |
Business Fax Number: | |
Mailing Address: | Po Box 40, NEWPORT |
State: | ME |
Postal Code: | 049530040 |
Phone Number: | 2073685146 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2010 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |