Doctor Name: | MRS. JEANNE KAMINSKI |
NPI Number: | 1073826640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 018497 |
Business Practice Address: | 1227 Montauk Hwy Unit 2 Oakdale, NY - 117691492 |
Business Phone Number: | 6312181545 |
Business Fax Number: | 6312182650 |
Mailing Address: | 127 Elm St, SAYVILLE |
State: | NY |
Postal Code: | 117823115 |
Phone Number: | 6315896693 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2010 |
NPI Last Update Date: | 07/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 018497 |
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 |