Doctor Name: | MR. JAMES MICHAEL KESSENICH |
NPI Number: | 1841328804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS CCC SLP |
License Number: | SLP2106 |
Business Practice Address: | 733 E Choctaw Communication Enrichment Services Llc Flagstaff, AZ - 86001 |
Business Phone Number: | 9286004191 |
Business Fax Number: | |
Mailing Address: | 733 E Choctaw, Communication Enrichment Services Llc FLAGSTAFF |
State: | AZ |
Postal Code: | 86001 |
Phone Number: | 9286004191 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP2106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |