Doctor Name: | MRS. DIANNE M. CREA-POWERS |
NPI Number: | 1164707246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCC-SLP |
License Number: | 005750-1 |
Business Practice Address: | 6917 W Bergen Rd Bergen, NY - 144169743 |
Business Phone Number: | 5854942220 |
Business Fax Number: | |
Mailing Address: | 6917 W Bergen Rd, BERGEN |
State: | NY |
Postal Code: | 144169743 |
Phone Number: | 5854942220 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2011 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 005750-1 |
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 |