Doctor Name: | MRS. YESENIA PHILLIPS |
NPI Number: | 1144559212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A CCC-SLP |
License Number: | 016110-1 |
Business Practice Address: | 10240 67th Dr Suite C2 Forest Hills, NY - 113752800 |
Business Phone Number: | 9174976731 |
Business Fax Number: | 7189970341 |
Mailing Address: | 10026 67th Rd Apt 1g, FOREST HILLS |
State: | NY |
Postal Code: | 113752726 |
Phone Number: | 9174976731 |
Fax Number: | 7189977487 |
NPI Enumeration Date: | 12/18/2009 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016110-1 |
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 |