Individual provider · NPI-1

Kathleen Anasagasti, SLP MS-CCC

Speech-Language Pathologist, · Palm Coast, FL

NPI number1790954709
StatusActive
Last updated in NPPESFeb 23, 2008

Details

NPI
1790954709
Entity type
Individual (NPI-1)
Name
Kathleen Anasagasti
Credential
SLP MS-CCC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 23, 2008
Last updated
Feb 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SA 8488FLYes

Practice location

24 Banner Ln
Palm Coast, FL 32137-8844

Phone 386-986-0226

Mailing address

24 Banner Ln
Palm Coast, FL 32137-8844

Phone 386-986-0226

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