Doctor Name: | PERRY P ZERVES |
NPI Number: | 1205012853 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SLP4094 |
Business Practice Address: | 5151 S Amber Sands Dr Fort Mohave, AZ - 864266537 |
Business Phone Number: | 9287887014 |
Business Fax Number: | |
Mailing Address: | 5151 Amber Sands Drive, FORT MOHAVE |
State: | AZ |
Postal Code: | 86426 |
Phone Number: | 9287887014 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP4094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |