Doctor Name: | DR. PETER J GANLEY |
NPI Number: | 1194757013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SC.D. |
License Number: | S3115 |
Business Practice Address: | 400 Veterans Ave Va Medical Center (126) Biloxi, MS - 395312410 |
Business Phone Number: | 2285235469 |
Business Fax Number: | 2285234518 |
Mailing Address: | Po Box 4601, BILOXI |
State: | MS |
Postal Code: | 395354601 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |