Doctor Name: | CHANA BUCKWOLD |
NPI Number: | 1114315298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | O80341200062892 |
Business Practice Address: | 3 Coles Way Lakewood, NJ - 087014875 |
Business Phone Number: | 7328744374 |
Business Fax Number: | 7325347094 |
Mailing Address: | 7 Evian Ct, LAKEWOOD |
State: | NJ |
Postal Code: | 087014737 |
Phone Number: | 7323637162 |
Fax Number: | 7325347094 |
NPI Enumeration Date: | 12/25/2014 |
NPI Last Update Date: | 12/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | O80341200062892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |