Doctor Name: | VIKTORIYA UTKINA |
NPI Number: | 1023392743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 708 3rd Ave 5th Floor New York, NY - 100174201 |
Business Phone Number: | 2122093910 |
Business Fax Number: | |
Mailing Address: | 208 3rd Ave, 5th Floor NY |
State: | NY |
Postal Code: | 10017 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/29/2011 |
NPI Last Update Date: | 10/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |