Doctor Name: | MRS. WENDY NOTTOLI |
NPI Number: | 1093842254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,CCC,BCABA |
License Number: | SA 85 |
Business Practice Address: | 10725 Sw 104th St Miami, FL - 331768162 |
Business Phone Number: | 3052747883 |
Business Fax Number: | 3052744271 |
Mailing Address: | 10725 Sw 104th St, MIAMI |
State: | FL |
Postal Code: | 331768162 |
Phone Number: | 3052747883 |
Fax Number: | 3052744271 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 85 |
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 |