Doctor Name: | MRS. KRISTIN L GRIFFIN GOMEZ |
NPI Number: | 1164799680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. SLP-CCC |
License Number: | 020175 |
Business Practice Address: | 75 W Perkal St Bay Shore, NY - 117066642 |
Business Phone Number: | 6319681232 |
Business Fax Number: | 6319681281 |
Mailing Address: | 75 W Perkal St, BAY SHORE |
State: | NY |
Postal Code: | 117066642 |
Phone Number: | 6319681232 |
Fax Number: | 6319681281 |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020175 |
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 |