Doctor Name: | MICHELLE AUDREY HUMANN |
NPI Number: | 1013210954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 020670 |
Business Practice Address: | 1225 Franklin Ave Suite 325 Garden City, NY - 115301691 |
Business Phone Number: | 5165128905 |
Business Fax Number: | |
Mailing Address: | 26 Lenore Ave, HICKSVILLE |
State: | NY |
Postal Code: | 118015929 |
Phone Number: | 5164457949 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2010 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020670 |
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 |