Doctor Name: | MRS. REBECCA LEE MCTERNAN |
NPI Number: | 1154775138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 025601 |
Business Practice Address: | 9520 Fredonia Stockton Rd Fredonia, NY - 140639518 |
Business Phone Number: | 7166724371 |
Business Fax Number: | |
Mailing Address: | 8751 Fredonia Stockton Rd, FREDONIA |
State: | NY |
Postal Code: | 140639514 |
Phone Number: | 7166726500 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2016 |
NPI Last Update Date: | 04/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 025601 |
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 |