| Doctor Name: | KATHLEEN IRENE BROY |
| NPI Number: | 1922361336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LL00003739 |
| Business Practice Address: | 5778 Chapin St Florence, WI - 541219443 |
| Business Phone Number: | 7155284833 |
| Business Fax Number: | |
| Mailing Address: | 5001 Statesman Dr, IRVING |
| State: | TX |
| Postal Code: | 750632414 |
| Phone Number: | 8778405157 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2012 |
| NPI Last Update Date: | 10/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL00003739 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |