Doctor Name: | MR. RAYMOND JOHN MCNAMARA |
NPI Number: | 1114104791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC/SLP |
License Number: | 009150 |
Business Practice Address: | 2128 Elmwood Ave People Inc Buffalo, NY - 142071910 |
Business Phone Number: | 7168745600 |
Business Fax Number: | 7168740388 |
Mailing Address: | 28 Lake St, ANGOLA |
State: | NY |
Postal Code: | 140061337 |
Phone Number: | 7165976234 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2008 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 009150 |
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 |