Doctor Name: | MS. JOAN E. MCNULTY |
NPI Number: | 1174595029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP CCC-S |
License Number: | 000778 |
Business Practice Address: | 887 Farmington Ave West Hartford, CT - 061191444 |
Business Phone Number: | 8602324980 |
Business Fax Number: | 8602324980 |
Mailing Address: | 887 Farmington Ave, WEST HARTFORD |
State: | CT |
Postal Code: | 061191444 |
Phone Number: | 8602324980 |
Fax Number: | 8602324980 |
NPI Enumeration Date: | 02/05/2006 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 000778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |