Doctor Name: | JACQUELINE CHRISTINE DOLSON-SHEWCHUK |
NPI Number: | 1003055708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSLP CCC-SLP |
License Number: | 015993-1 |
Business Practice Address: | 241 W 72nd St # 2 New York, NY - 100232703 |
Business Phone Number: | 2125801910 |
Business Fax Number: | 2125801910 |
Mailing Address: | 78 W 85th St Apt 5d, NEW YORK |
State: | NY |
Postal Code: | 100244568 |
Phone Number: | 2125955352 |
Fax Number: | 2125801910 |
NPI Enumeration Date: | 02/19/2009 |
NPI Last Update Date: | 02/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015993-1 |
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 |