Provider Demographics
NPI:1467943159
Name:KOWALSKI, KALIE JOY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KALIE
Middle Name:JOY
Last Name:KOWALSKI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9314 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3935
Mailing Address - Country:US
Mailing Address - Phone:202-763-0753
Mailing Address - Fax:
Practice Address - Street 1:9314 CEDAR LN
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3935
Practice Address - Country:US
Practice Address - Phone:202-763-0753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-29
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty