Doctor Name: | MS. LAXMI JAGADISH |
NPI Number: | 1194891549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | YS00263500 |
Business Practice Address: | 44 Milltown Rd East Brunswick, NJ - 088162356 |
Business Phone Number: | 7322381664 |
Business Fax Number: | 7326139795 |
Mailing Address: | 21 Dexter Rd, EAST BRUNSWICK |
State: | NJ |
Postal Code: | 088162873 |
Phone Number: | 7326513259 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | YS00263500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |