NPI 1013688191 · live from the CMS NPI Registry
Kalisandra G Bussey
Speech-Language Pathologist, in Wilmington, DE. National Provider Identifier 1013688191, active.
NPI record
| NPI | 1013688191 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2000 Pennsylvania Ave Apt 436, Wilmington, DE 19806 |
| Practice phone | 732-904-1886 |
| Enumerated | September 28, 2021 |
| Last updated | September 28, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | O1-0012015 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.