Doctor Name: | MISS JILL R KIRSCHENBAUM |
NPI Number: | 1083916308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CFY |
License Number: | SZ 5120 |
Business Practice Address: | 3157 N University Dr Ste 103 Pembroke Pines, FL - 330242258 |
Business Phone Number: | 9544429422 |
Business Fax Number: | |
Mailing Address: | 33 E Camino Real Apt 912, BOCA RATON |
State: | FL |
Postal Code: | 334326156 |
Phone Number: | 3057751524 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2010 |
NPI Last Update Date: | 11/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ 5120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |