Provider Demographics
NPI:1417191362
Name:PYLE, KATHRYN LISA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LISA
Last Name:PYLE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MRS
Other - First Name:KATHRYN
Other - Middle Name:LISA
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:87 JACKSON ST
Mailing Address - Street 2:5C
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6083
Mailing Address - Country:US
Mailing Address - Phone:347-886-4493
Mailing Address - Fax:
Practice Address - Street 1:87 JACKSON ST
Practice Address - Street 2:5C
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-6083
Practice Address - Country:US
Practice Address - Phone:347-886-4493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014936-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist