Doctor Name: | CAROL DEBERARDINIS |
NPI Number: | 1144455189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPP |
License Number: | 01-0000143 |
Business Practice Address: | 318 E Basin Rd New Castle, DE - 197204214 |
Business Phone Number: | 3024493602 |
Business Fax Number: | 3023766796 |
Mailing Address: | 318 E Basin Rd, NEW CASTLE |
State: | DE |
Postal Code: | 197204214 |
Phone Number: | 3024493602 |
Fax Number: | 3023766796 |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01-0000143 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
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 |