Doctor Name: | ALYCE THERESE SHERWOOD |
NPI Number: | 1043301252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.C.C.C. |
License Number: | 005837-1 |
Business Practice Address: | 606 Old Route 17 Monticello, NY - 127017013 |
Business Phone Number: | 8457941400 |
Business Fax Number: | |
Mailing Address: | Po Box 1302, LIVINGSTON MANOR |
State: | NY |
Postal Code: | 127581302 |
Phone Number: | 8564395382 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 005837-1 |
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 |