Doctor Name: | KATHLYN R BREWINGTON |
NPI Number: | 1851715023 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP/CCC |
License Number: | 103325 |
Business Practice Address: | 16220 Midway Rd Addison, TX - 750014214 |
Business Phone Number: | 9728004466 |
Business Fax Number: | 2143774244 |
Mailing Address: | Po Box 701837, DALLAS |
State: | TX |
Postal Code: | 753701837 |
Phone Number: | 9728004466 |
Fax Number: | 2143774244 |
NPI Enumeration Date: | 02/09/2014 |
NPI Last Update Date: | 02/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 103325 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |