Doctor Name: | MRS. TERESA SHKVARCHUK |
NPI Number: | 1003296815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP 16571 |
Business Practice Address: | 2701 N Rocky Point Dr Ste 650 Tampa, FL - 336075999 |
Business Phone Number: | 5302421511 |
Business Fax Number: | |
Mailing Address: | 1766 California St, REDDING |
State: | CA |
Postal Code: | 960011905 |
Phone Number: | 5302421511 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2015 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 16571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |