Doctor Name: | MR. PETER THOMAS DUPRE |
NPI Number: | 1023301686 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP-CCC |
License Number: | 020939-1 |
Business Practice Address: | 629 Church St Endicott, NY - 137604509 |
Business Phone Number: | 6072228217 |
Business Fax Number: | |
Mailing Address: | 629 Church St, ENDICOTT |
State: | NY |
Postal Code: | 137604509 |
Phone Number: | 6072228217 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2011 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020939-1 |
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 |