Doctor Name: | MELISSA XENAKIS |
NPI Number: | 1083919880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 016820-1 |
Business Practice Address: | 99 Cedar Swamp Rd Jericho, NY - 117531201 |
Business Phone Number: | 5162033600 |
Business Fax Number: | |
Mailing Address: | 26 Greenway Dr, FARMINGDALE |
State: | NY |
Postal Code: | 117352108 |
Phone Number: | 5162381947 |
Fax Number: | 5166947141 |
NPI Enumeration Date: | 01/26/2011 |
NPI Last Update Date: | 01/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016820-1 |
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 |