Doctor Name: | AISHA KAMILAH O'GILVIE |
NPI Number: | 1063878379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 022293-1 |
Business Practice Address: | 230 Steuben St Montour Falls, NY - 148659648 |
Business Phone Number: | 6072107350 |
Business Fax Number: | |
Mailing Address: | 3 Donna Dr, POUGHKEEPSIE |
State: | NY |
Postal Code: | 126035611 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/04/2016 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 022293-1 |
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 |