Provider Demographics
NPI:1306168265
Name:KAPPE, TERRY ANN
Entity type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:ANN
Last Name:KAPPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9432 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-3156
Mailing Address - Country:US
Mailing Address - Phone:626-287-8592
Mailing Address - Fax:626-552-3733
Practice Address - Street 1:9432 OLIVE ST
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-3156
Practice Address - Country:US
Practice Address - Phone:626-287-8592
Practice Address - Fax:626-552-3733
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP4812235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist