Doctor Name: | CARRIE MCNIECE |
NPI Number: | 1073713830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 010314-1 |
Business Practice Address: | 590 Fishers Station Dr Suite 130 Victor, NY - 145649744 |
Business Phone Number: | 5859247207 |
Business Fax Number: | 5859247049 |
Mailing Address: | 94 Main St, BLOOMFIELD |
State: | NY |
Postal Code: | 144699338 |
Phone Number: | 5856574482 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2007 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010314-1 |
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 |