Doctor Name: | MADALINA LIPAN |
NPI Number: | 1093195943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 15813 72nd Ave Fresh Meadows, NY - 113651140 |
Business Phone Number: | 7183807600 |
Business Fax Number: | 7183806675 |
Mailing Address: | 4624 195th St, FLUSHING |
State: | NY |
Postal Code: | 113583920 |
Phone Number: | 9178540647 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2015 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |