Doctor Name: | MS. OLGA H. RODRIGUEZ |
NPI Number: | 1053560383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP/TSLD-BE |
License Number: | 016588-1 |
Business Practice Address: | 11801 101st Ave South Richmond Hill, NY - 114191229 |
Business Phone Number: | 7188057117 |
Business Fax Number: | 7188057124 |
Mailing Address: | 8453 Furmanville Ave, MIDDLE VILLAGE |
State: | NY |
Postal Code: | 113792429 |
Phone Number: | 7184162484 |
Fax Number: | 7184168831 |
NPI Enumeration Date: | 09/10/2008 |
NPI Last Update Date: | 09/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016588-1 |
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 |