Doctor Name: | MRS. ANNETTE CAMERON O'CONNELL |
NPI Number: | 1932241973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 63 |
Business Practice Address: | 110 Trading Bay Dr Suite 105 Kenai, AK - 996117716 |
Business Phone Number: | 9072834300 |
Business Fax Number: | 9072834362 |
Mailing Address: | Po Box 3187, KENAI |
State: | AK |
Postal Code: | 996113187 |
Phone Number: | 9072834300 |
Fax Number: | 9072834362 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 63 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |