Doctor Name: | MRS. GRETCHEN MARIE WEST |
NPI Number: | 1033442447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC/SLP, MED |
License Number: | 361703 |
Business Practice Address: | 620 Laurel St Lee, MA - 012389181 |
Business Phone Number: | 4132432010 |
Business Fax Number: | |
Mailing Address: | 18 Juliana Dr, PITTSFIELD |
State: | MA |
Postal Code: | 012018431 |
Phone Number: | 4134437991 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 09/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 361703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |