Kathleen Jendron Labarowski, MSP CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5642 Issued in NC

Practice address

1617 Eagle Lake Dr
Fort Mill, SC 29707-7743

Phone

(704) 839-9540

Fax

(803) 802-4607

NPI assigned

Apr 29, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335657600000",
    "number": "1811255763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 EAGLE LAKE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077743",
            "telephone_number": "704-839-9540",
            "fax_number": "704-802-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 EAGLE LAKE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077743",
            "telephone_number": "704-839-9540",
            "fax_number": "803-802-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAROWSKI",
        "first_name": "KATHLEEN",
        "middle_name": "JENDRON",
        "name_prefix": "Ms.",
        "credential": "MSP CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakeshore Dental LLC

• Speech-Language Pathologist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.