Doctor Name: | MRS. GERALDINE BROOKS DREXLER |
NPI Number: | 1063514073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SP |
License Number: | SA7925 |
Business Practice Address: | 6823 Dominion Ln Lakewood Ranch, FL - 342025027 |
Business Phone Number: | 9415383571 |
Business Fax Number: | 3175220010 |
Mailing Address: | 6823 Dominion Ln, LAKEWOOD RANCH |
State: | FL |
Postal Code: | 342025027 |
Phone Number: | 9415383571 |
Fax Number: | 3175220010 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |