Kathleen Emma Becker, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Bear, DE

NPI 1164049409 · NPPES record last updated Jul 13, 2021

Key facts

NPI
1164049409
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
O4-0000671 (DE)
Practice address
925 Bear Corbitt Rd
Bear, DE 19701-1323
Phone
(302) 454-2101
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
O4-0000671DEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X O4-0000671 DE Yes

Addresses

Primary practice location

925 Bear Corbitt Rd
Bear, DE 19701-1323

Mailing address

925 Bear Corbitt Rd
Bear, DE 19701-1323

Other providers in Bear, DE

All providers in Bear, DE · Speech-Language Pathologist in Delaware

Sources for this page

Verify at the official NPI Registry.