Doctor Name: | MRS. JILL STACY LEICHER-KRAMER |
NPI Number: | 1114204583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP, TSHH |
License Number: | 008829-1 |
Business Practice Address: | 7025 Yellowstone Blvd Apt 4m Forest Hills, NY - 113753164 |
Business Phone Number: | 7184597545 |
Business Fax Number: | |
Mailing Address: | 7025 Yellowstone Blvd, Apt 4m FOREST HILLS |
State: | NY |
Postal Code: | 113753164 |
Phone Number: | 7184597545 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2011 |
NPI Last Update Date: | 11/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 008829-1 |
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 |