Doctor Name: | LIZA CARMEN MUTO |
NPI Number: | 1134459100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL009600 |
Business Practice Address: | 1500 Fifth Ave Mckeesport, PA - 151322422 |
Business Phone Number: | 4126642221 |
Business Fax Number: | |
Mailing Address: | 1504 Linden St, CHESWICK |
State: | PA |
Postal Code: | 150241516 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |