Organization Name: | PHYLLIS ATZINGER |
NPI Number: | 1194174508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHYLLIS ATZINGER (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 1210 Potomac Pl Louisville |
State: | KY US |
Postal Code: | 402144143 |
Phone Number: | 5029394219 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |