Doctor Name: | OKSANA PAVLYUK |
NPI Number: | 1003045576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 019966 |
Business Practice Address: | 160 Lawrence Ave Brooklyn, NY - 112301103 |
Business Phone Number: | 7184367979 |
Business Fax Number: | |
Mailing Address: | 1916 Avenue K, #4c BROOKLYN |
State: | NY |
Postal Code: | 112304960 |
Phone Number: | 7183771847 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2009 |
NPI Last Update Date: | 02/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |