Doctor Name: | ANASTASIA HURSH |
NPI Number: | 1205195260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | SA6137 |
Business Practice Address: | 960 Wekiva Springs Rd Longwood, FL - 327792502 |
Business Phone Number: | 3213633961 |
Business Fax Number: | |
Mailing Address: | 960 Wekiva Springs Road, LONGWOOD |
State: | FL |
Postal Code: | 32779 |
Phone Number: | 3213633961 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2012 |
NPI Last Update Date: | 05/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA6137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |