Doctor Name: | MINA KAWASAKI |
NPI Number: | 1962863977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 4435 |
Business Practice Address: | 1459 E. Omaha St. Apt. B3 Broken Arrow, OK - 74012 |
Business Phone Number: | 9184311078 |
Business Fax Number: | |
Mailing Address: | 1459 E. Omaha St., Apt. B3 BROKEN ARROW |
State: | OK |
Postal Code: | 74012 |
Phone Number: | 9184311078 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2016 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |