Doctor Name: | IRINA YULIS |
NPI Number: | 1033360664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | 41YS00564400 |
Business Practice Address: | 260 W 52nd St Apt 24d New York, NY - 100195850 |
Business Phone Number: | 9179033136 |
Business Fax Number: | |
Mailing Address: | 260 W 52nd St, Apt 24d NEW YORK |
State: | NY |
Postal Code: | 100195850 |
Phone Number: | 9179033136 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2008 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00564400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
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 |