Individual
YEKATERINA VERNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
967 KAINUI DR, KAILUA, HI 96734-2027
(812) 219-2952
Mailing address
967 KAINUI DR, KAILUA, HI 96734-2027
(812) 219-2952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011257
PA
Other
Enumeration date
05/01/2019
Last updated
09/23/2021
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