Doctor Name: | MISS MICHELE PAVESI |
NPI Number: | 1144619073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 41YS00740200 |
Business Practice Address: | 129 N White Horse Pike Suite B Hammonton, NJ - 080371874 |
Business Phone Number: | 6097041980 |
Business Fax Number: | 6097049054 |
Mailing Address: | 129 N White Horse Pike, Suite B HAMMONTON |
State: | NJ |
Postal Code: | 08037 |
Phone Number: | 6097041980 |
Fax Number: | 6097049054 |
NPI Enumeration Date: | 01/15/2015 |
NPI Last Update Date: | 01/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00740200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |