Doctor Name: | MS. MERYL ANN TEITELBAUM |
NPI Number: | 1063568889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC,LSP,SAS |
License Number: | 006546-1 |
Business Practice Address: | 90 Air Park Dr Ronkonkoma, NY - 117797360 |
Business Phone Number: | 6315804003 |
Business Fax Number: | 6314711954 |
Mailing Address: | 73 Orion Walk, HOLBROOK |
State: | NY |
Postal Code: | 117414922 |
Phone Number: | 6315804003 |
Fax Number: | 6314711954 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 006546-1 |
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 |