Doctor Name: | MRS. MICHELLE M KEEN |
NPI Number: | 1023296100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 015128-1 |
Business Practice Address: | 1025 Ridge Rd Lackawanna, NY - 142181755 |
Business Phone Number: | 7168224781 |
Business Fax Number: | 7168255765 |
Mailing Address: | 3966 Grant Ave, HAMBURG |
State: | NY |
Postal Code: | 140752923 |
Phone Number: | 7166496288 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015128-1 |
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 |