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NPI Code Detail

MEDICARE: MS. KATHLEEN ANN MUNROE MS, CCC-SLP, CBIS

MEDICARE: MS. KATHLEEN ANN MUNROE MS, CCC-SLP, CBIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist19552CA

General Provider Information

NPI Number : 1538561519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN ANN MUNROE MS, CCC-SLP, CBIS
Provider Business Mailing Address
First Line : 1205 PACIFIC HIGHWAY
Second Line : 2906
City : SAN DIEGO
State : CA
Zip : 92101
Country : US
Telephone Number : 619-822-3624
Fax Number :
Provider Business Practice Location Address
First Line : 1205 PACIFIC HIGHWAY
Second Line : 2906
City : SAN DIEGO
State : CA
Zip : 92101
Country : US
Telephone Number : 619-822-3624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2014
Last Update Date : 08/05/2022

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Directions to “ MS. KATHLEEN ANN MUNROE MS, CCC-SLP, CBIS” Practice Location

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