Doctor Name: | KENALYN M. CROMWELL |
NPI Number: | 1790917599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SA3082 |
Business Practice Address: | 230 Forest Park Cir Panama City, FL - 324054919 |
Business Phone Number: | 8504810419 |
Business Fax Number: | 8502157809 |
Mailing Address: | 912 Kristanna Dr, PANAMA CITY |
State: | FL |
Postal Code: | 324053278 |
Phone Number: | 8502522628 |
Fax Number: | 8502157809 |
NPI Enumeration Date: | 08/13/2009 |
NPI Last Update Date: | 05/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA3082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |