Doctor Name: | MS. PEGGY S CONNER |
NPI Number: | 1013249044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.PHIL, M.S.,CCC-SLP |
License Number: | 4321 |
Business Practice Address: | 411 Theodore Fremd Ave Suite 206 South Rye, NY - 105801410 |
Business Phone Number: | 9149253575 |
Business Fax Number: | |
Mailing Address: | 411 Theodore Fremd Avenue,, Suite 206 South RYE |
State: | NY |
Postal Code: | 105801410 |
Phone Number: | 9149253575 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2010 |
NPI Last Update Date: | 02/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4321 |
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 |