| Doctor Name: | JOELLE MARIE VON BISCHOFFSHAUSEN |
| NPI Number: | 1194095299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | 021603-1 |
| Business Practice Address: | 101 Mansion St Poughkeepsie, NY - 126012412 |
| Business Phone Number: | 8454514690 |
| Business Fax Number: | 8454514701 |
| Mailing Address: | 58 S Manheim Blvd, Apt. 1 NEW PALTZ |
| State: | NY |
| Postal Code: | 125612462 |
| Phone Number: | 7324073419 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2012 |
| NPI Last Update Date: | 10/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 021603-1 |
| 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 |