Doctor Name: | DR. DAVID N. SORENSEN |
NPI Number: | 1053489831 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD CCC-SLP |
License Number: | |
Business Practice Address: | Idaho State University 921 S. 8th, Stop 8116 Pocatello, ID - 832090001 |
Business Phone Number: | 2082822741 |
Business Fax Number: | 2082824571 |
Mailing Address: | Idaho State University, Box 8116 POCATELLO |
State: | ID |
Postal Code: | 832090001 |
Phone Number: | 2082822741 |
Fax Number: | 2082824571 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |