Doctor Name: | SHAYNE DENA RUPP |
NPI Number: | 1033488580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 010646-1 |
Business Practice Address: | 2324 W 13th St Otsar Early Childhood Center Brooklyn, NY - 112235639 |
Business Phone Number: | 7189461413 |
Business Fax Number: | |
Mailing Address: | 515 E 2nd St, BROOKLYN |
State: | NY |
Postal Code: | 112184503 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/28/2011 |
NPI Last Update Date: | 12/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010646-1 |
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 |