Doctor Name: | MRS. MIRIAM GATES KERR |
NPI Number: | 1881635894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAT CCC SCP |
License Number: | 2202004153 |
Business Practice Address: | 1241 N Main St Harrisonburg, VA - 22802 |
Business Phone Number: | 5404341941 |
Business Fax Number: | 5404338277 |
Mailing Address: | 1241 N Main St, HARRISONBURG |
State: | VA |
Postal Code: | 22802 |
Phone Number: | 5404341941 |
Fax Number: | 5404338277 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |