Doctor Name: | MRS. MICHELLE MARIE POWERS |
NPI Number: | 1144472408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 012360-1 |
Business Practice Address: | 30 Pheasant Run Ballston Spa, NY - 120202912 |
Business Phone Number: | 5188849502 |
Business Fax Number: | 5188849502 |
Mailing Address: | 30 Pheasant Run, BALLSTON SPA |
State: | NY |
Postal Code: | 120202912 |
Phone Number: | 5188849502 |
Fax Number: | 5188849502 |
NPI Enumeration Date: | 10/17/2008 |
NPI Last Update Date: | 10/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 012360-1 |
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 |