Doctor Name: | MRS. GRACEMARY ANN CONSTANTZ |
NPI Number: | 1144540527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 0188601 |
Business Practice Address: | 1100 E Main St Endicott, NY - 137605254 |
Business Phone Number: | 6077572101 |
Business Fax Number: | |
Mailing Address: | 263 Ridgefield Rd, ENDICOTT |
State: | NY |
Postal Code: | 137604256 |
Phone Number: | 6077572152 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2010 |
NPI Last Update Date: | 06/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0188601 |
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 |