Doctor Name: | CYNTHIA DRISCOLL |
NPI Number: | 1104216175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 18372 |
Business Practice Address: | 9579 Vocational Dr Painted Post, NY - 148709043 |
Business Phone Number: | 6077393581 |
Business Fax Number: | |
Mailing Address: | 9579 Vocational Dr, PAINTED POST |
State: | NY |
Postal Code: | 148709043 |
Phone Number: | 6077393581 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2015 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18372 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |