| Doctor Name: | KERA O'BRIEN |
| NPI Number: | 1912223264 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SA 10919 |
| Business Practice Address: | 4035 Winter Ter Titusville, FL - 327806000 |
| Business Phone Number: | 3212892640 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5215, TITUSVILLE |
| State: | FL |
| Postal Code: | 327835215 |
| Phone Number: | 3212892640 |
| Fax Number: | 3212680765 |
| NPI Enumeration Date: | 04/12/2010 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 10919 |
| 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 |