Doctor Name: | MR. SAMRAT ROY |
NPI Number: | 1073859724 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | SP16034 |
Business Practice Address: | 1901 Halford Ave Apt 23 Santa Clara, CA - 950512537 |
Business Phone Number: | 4083293272 |
Business Fax Number: | |
Mailing Address: | 1901 Halford Ave Apt 23, SANTA CLARA |
State: | CA |
Postal Code: | 950512537 |
Phone Number: | 4083293272 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2012 |
NPI Last Update Date: | 12/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP16034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |