Doctor Name: | KATHERINE KOSTMAYER |
NPI Number: | 1982862710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6166 |
Business Practice Address: | 905 N Shore Dr Biloxi, MS - 395323013 |
Business Phone Number: | 2288616956 |
Business Fax Number: | |
Mailing Address: | 905 N Shore Dr, BILOXI |
State: | MS |
Postal Code: | 395323013 |
Phone Number: | 2288616956 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |