Doctor Name: | MRS. STACIE PEARL |
NPI Number: | 1083747059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 011483-1 |
Business Practice Address: | 141 S Central Ave Suite #305 Hartsdale, NY - 105302319 |
Business Phone Number: | 9144288004 |
Business Fax Number: | 9144288003 |
Mailing Address: | 10 High St, KATONAH |
State: | NY |
Postal Code: | 105361120 |
Phone Number: | 9143015091 |
Fax Number: | 9144288004 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 011483-1 |
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 |