Doctor Name: | DR. KATHLEEN ROSE FAHEY |
NPI Number: | 1861487183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., CCC-ALP |
License Number: | 00623629 |
Business Practice Address: | Unc Speech And Audiology Clinic Gunter Hall Room 0330 Greeley, CO - 806390001 |
Business Phone Number: | 9703512012 |
Business Fax Number: | 9703511601 |
Mailing Address: | 5137 W 12th St, GREELEY |
State: | CO |
Postal Code: | 806342138 |
Phone Number: | 9703537743 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00623629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |