Doctor Name: | CAROLYN O'HEARN |
NPI Number: | 1912392614 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7508 M E Cad Blvd Ste A Clarkston, MI - 483484281 |
Business Phone Number: | 2489229200 |
Business Fax Number: | 2489229700 |
Mailing Address: | Po Box 1708, CLARKSTON |
State: | MI |
Postal Code: | 483471708 |
Phone Number: | 2489229200 |
Fax Number: | 2489229700 |
NPI Enumeration Date: | 03/31/2015 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |