Doctor Name: | MS. JEANETTE RUIZ |
NPI Number: | 1043596851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 010193 |
Business Practice Address: | 137 Viola St Wallkill, NY - 125894414 |
Business Phone Number: | 8458957225 |
Business Fax Number: | |
Mailing Address: | 137 Viola St, WALLKILL |
State: | NY |
Postal Code: | 125894414 |
Phone Number: | 8458957225 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2011 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010193 |
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 |