Doctor Name: | KATHRYN FORMAN |
NPI Number: | 1912305541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP004882 |
Business Practice Address: | 33 Sapphire Island Rd Savannah, GA - 314101641 |
Business Phone Number: | 4042103463 |
Business Fax Number: | |
Mailing Address: | 33 Sapphire Island Rd, SAVANNAH |
State: | GA |
Postal Code: | 314101641 |
Phone Number: | 4042103463 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2014 |
NPI Last Update Date: | 12/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP004882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |