Doctor Name: | SHARON WILSON PROUTY |
NPI Number: | 1164674172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC |
License Number: | 003027-1 |
Business Practice Address: | 95 Bradhurst Ave Valhalla, NY - 105951637 |
Business Phone Number: | 9145927555 |
Business Fax Number: | |
Mailing Address: | 336 Alpine Dr, CORTLANDT MANOR |
State: | NY |
Postal Code: | 105671306 |
Phone Number: | 9145289169 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003027-1 |
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 |