| Doctor Name: | MS. KEOVMORKODH CHHUON |
| NPI Number: | 1023426053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CF-SLP |
| License Number: | |
| Business Practice Address: | 150-50 14th Road Whitestone, NY - 11357 |
| Business Phone Number: | 7187670091 |
| Business Fax Number: | 7187670086 |
| Mailing Address: | 244 5th Ave Ste J263, NEW YORK |
| State: | NY |
| Postal Code: | 100017604 |
| Phone Number: | 3106611133 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2014 |
| NPI Last Update Date: | 09/18/2014 |
| 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 |