Kathleen Abraham
Individual provider Active NPI Speech-Language Pathologist · Stuart, FL
NPI 1376969626 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1376969626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.004780 (IL)
- Practice address
- 3400 SE Aster LN
Stuart, FL 34994-5516 - Phone
- (772) 781-4503
- NPI assigned
- Mar 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA16014 | FL | MD | Speech-Language Pathologist |
| 146.004780 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA16014 | FL | |
| Speech-Language Pathologist | 235Z00000X | 146.004780 | IL | Yes |
Addresses
Primary practice location
3400 SE Aster LN
Stuart, FL 34994-5516
Mailing address
3400 SE Aster LN
Stuart, FL 34994-5516
Other practice location 1
4900 SE Willoughby Blvd
Stuart, FL 34997-4002
Phone (772) 200-3627
Other practice location 2
2530 N Monroe St
Decatur, IL 62526-3249
Phone (217) 872-1734
Other providers in Stuart, FL
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- Enrique J Ablan
- Samuel Opoku Abora
- Yaphat Abraham
- Aylet Abreu Camejo
- Naylen Abreu Pacheco
- Alba Abreu
- Lesly Abreu
All providers in Stuart, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.