Doctor Name: | KATHLEEN A RENNIE |
NPI Number: | 1982829073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP-L |
License Number: | SL005067L |
Business Practice Address: | 136 East Ave Erie, PA - 165071842 |
Business Phone Number: | 8144537661 |
Business Fax Number: | 8144551132 |
Mailing Address: | 136 East Ave, ERIE |
State: | PA |
Postal Code: | 165071842 |
Phone Number: | 8144537661 |
Fax Number: | 8144551132 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005067L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |