Doctor Name: | MS. JACLYN KUBALA |
NPI Number: | 1891923637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 694 Wharton Blvd Exton, PA - 193411189 |
Business Phone Number: | 6107152702 |
Business Fax Number: | |
Mailing Address: | 21 Armstrong Ct, COATESVILLE |
State: | PA |
Postal Code: | 193204200 |
Phone Number: | 6103836259 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |