Doctor Name: | MRS. MARY JO DAUGHTON |
NPI Number: | 1205118718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH PATHOLOGIST |
License Number: | 013419 |
Business Practice Address: | 95 Point Pleasant Rd Rochester, NY - 146221667 |
Business Phone Number: | 5853391365 |
Business Fax Number: | |
Mailing Address: | 39 Dover Park, ROCHESTER |
State: | NY |
Postal Code: | 146103201 |
Phone Number: | 5852446624 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2011 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 013419 |
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 |