Doctor Name: | KATHLEEN KIRCH |
NPI Number: | 1881907855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1275117 |
Business Practice Address: | 15050 14th Rd C/o All In 1 Spot Whitestone, NY - 113572607 |
Business Phone Number: | 7187670091 |
Business Fax Number: | 7187670086 |
Mailing Address: | 15050 14th Rd, C/o All In 1 Spot WHITESTONE |
State: | NY |
Postal Code: | 113572607 |
Phone Number: | 7187670091 |
Fax Number: | 7187670086 |
NPI Enumeration Date: | 07/20/2010 |
NPI Last Update Date: | 07/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1275117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |