Doctor Name: | DANA GEISS |
NPI Number: | 1205185717 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL008750 |
Business Practice Address: | 4425 Crosland Rd. Philadelphia, PA - 191544343 |
Business Phone Number: | 2158243143 |
Business Fax Number: | |
Mailing Address: | 4425 Crosland Rd., PHILADELPHIA |
State: | PA |
Postal Code: | 19154 |
Phone Number: | 2678721910 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2012 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |