Doctor Name: | MS. HOLLY EUN HEE GANGWER |
NPI Number: | 1043281132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP 6033 |
Business Practice Address: | Psc 561 Box 1877 Fpo, AP - 96310 |
Business Phone Number: | 011827794180 |
Business Fax Number: | |
Mailing Address: | Psc 561 Box 1877, FPO |
State: | AP |
Postal Code: | 96310 |
Phone Number: | 011827794180 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 6033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |