Doctor Name: | EDRIA M RAGOSIN |
NPI Number: | 1144593716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC/SLP |
License Number: | SP0000001269 |
Business Practice Address: | 4206 Stammer Pl Nashville, TN - 372153302 |
Business Phone Number: | 6152984555 |
Business Fax Number: | 6152984555 |
Mailing Address: | 10 New King St, Suitte 105 WHITE PLAINS |
State: | NY |
Postal Code: | 106041205 |
Phone Number: | 9143999880 |
Fax Number: | 9143999881 |
NPI Enumeration Date: | 02/13/2012 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP0000001269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |