Doctor Name: | MRS. TARA MAUREEN KALBACH |
NPI Number: | 1871689661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC-SLP |
License Number: | SA7850 |
Business Practice Address: | 1002 S Dillard St Suite 106 Winter Garden, FL - 347873991 |
Business Phone Number: | 4079058908 |
Business Fax Number: | 4079058958 |
Mailing Address: | 12084 Lake Cypress Cir, Apt. J309 ORLANDO |
State: | FL |
Postal Code: | 328287055 |
Phone Number: | 4079961581 |
Fax Number: | 4079961581 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7850 |
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 |