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NPI 1376969626 · live from the CMS NPI Registry

Kathleen Abraham

Speech-Language Pathologist, in Stuart, FL. National Provider Identifier 1376969626, active.

NPI record

NPI1376969626 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location3400 Se Aster Ln, Stuart, FL 34994
Practice phone772-781-4503
EnumeratedMarch 11, 2014
Last updatedMarch 17, 2018
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, 235Z00000XSA16014 (FL)
Speech-Language Pathologist, primary235Z00000X146.004780 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.