Doctor Name: | MS. JONI ANDERSON |
NPI Number: | 1154517100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 1009745 |
Business Practice Address: | 14407 Sw Teal Blvd Apt 99d Beaverton, OR - 970084395 |
Business Phone Number: | 5035249420 |
Business Fax Number: | 5035249420 |
Mailing Address: | 14407 Sw Teal Blvd Apt 99d, BEAVERTON |
State: | OR |
Postal Code: | 970084395 |
Phone Number: | 5035249420 |
Fax Number: | 5035249420 |
NPI Enumeration Date: | 09/23/2007 |
NPI Last Update Date: | 09/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1009745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |