| Doctor Name: | MISS REUT DAHAN |
| NPI Number: | 1033579313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | |
| Business Practice Address: | 4277 65th Pl Woodside, NY - 113775054 |
| Business Phone Number: | 7184292000 |
| Business Fax Number: | |
| Mailing Address: | 15350 75th Ave Apt 2g, FLUSHING |
| State: | NY |
| Postal Code: | 113673028 |
| Phone Number: | 3476138564 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2016 |
| NPI Last Update Date: | 03/01/2016 |
| 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 |