Doctor Name: | KATHRYN BRIASCO |
NPI Number: | 1760841100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146.008614 |
Business Practice Address: | 1811 W Diehl Rd Suite 100 Naperville, IL - 605639086 |
Business Phone Number: | 6304281595 |
Business Fax Number: | 6304288772 |
Mailing Address: | 1811 W Diehl Rd, Suite 100 NAPERVILLE |
State: | IL |
Postal Code: | 605639086 |
Phone Number: | 6304281595 |
Fax Number: | 6304288772 |
NPI Enumeration Date: | 02/13/2016 |
NPI Last Update Date: | 02/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.008614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |