Doctor Name: | MRS. KATHLEEN R. LANCASTER |
NPI Number: | 1821263617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SP#2402 |
Business Practice Address: | 500 Tiger Blvd Bentonville, AR - 727124208 |
Business Phone Number: | 4792545065 |
Business Fax Number: | 4792711123 |
Mailing Address: | 1 Jarrod Dr, BELLA VISTA |
State: | AR |
Postal Code: | 727143241 |
Phone Number: | 4798552425 |
Fax Number: | 4798552425 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |