Doctor Name: | DANIELLE GREENSPON WOHLLEBEN |
NPI Number: | 1033364559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC/SLP |
License Number: | 013446-1 |
Business Practice Address: | 128 Shepherd St Rockville Centre, NY - 115702257 |
Business Phone Number: | 5162558916 |
Business Fax Number: | |
Mailing Address: | 2126 Pemaco Rd, MERRICK |
State: | NY |
Postal Code: | 115665538 |
Phone Number: | 5166325119 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 013446-1 |
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 |