Doctor Name: | THERESA DENOLF |
NPI Number: | 1073899605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CFY-SLP |
License Number: | RPE 7166 |
Business Practice Address: | 200 E Del Mar Blvd Pasadena, CA - 911052544 |
Business Phone Number: | 6265642700 |
Business Fax Number: | 6265642770 |
Mailing Address: | 200 E Del Mar Blvd, PASADENA |
State: | CA |
Postal Code: | 911052544 |
Phone Number: | 6265642700 |
Fax Number: | 6265642770 |
NPI Enumeration Date: | 10/27/2011 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | RPE 7166 |
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 |