Doctor Name: | MRS. JULEE H HAFNER |
NPI Number: | 1003088949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SA |
License Number: | SA9080 |
Business Practice Address: | 3040 N Wickham Rd Ste 7 Melbourne, FL - 329352369 |
Business Phone Number: | 3212559546 |
Business Fax Number: | 3212554690 |
Mailing Address: | 2772 Galindo Cir, VIERA |
State: | FL |
Postal Code: | 329405910 |
Phone Number: | 3216362648 |
Fax Number: | 3212554690 |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA9080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |