Doctor Name: | MRS. PASCALE BOURNE |
NPI Number: | 1104068238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SA6356 |
Business Practice Address: | 201 Nw 82nd Ave Suite 302 Plantation, FL - 333247808 |
Business Phone Number: | 9545772294 |
Business Fax Number: | 9545772297 |
Mailing Address: | 201 Nw 82nd Ave, Suite 302 PLANTATION |
State: | FL |
Postal Code: | 333247808 |
Phone Number: | 9545772294 |
Fax Number: | 9545772297 |
NPI Enumeration Date: | 04/06/2009 |
NPI Last Update Date: | 12/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA6356 |
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 |