Doctor Name: | MARY SPANG |
NPI Number: | 1124238779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 337 |
Business Practice Address: | 350 7th St N Naples, FL - 341025754 |
Business Phone Number: | 2394365102 |
Business Fax Number: | |
Mailing Address: | 15874 Delasol Ln, NAPLES |
State: | FL |
Postal Code: | 341102809 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 337 |
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 |