Organization Name: | MAIA C. KING, SPEECH-LANGUAGE PATHOLOGIST PLLC |
NPI Number: | 1205235793 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAIA COURTNEY KING (OWNER/SLP) |
Mailing Address: | 8845 81st Rd Glendale |
State: | NY US |
Postal Code: | 113857841 |
Phone Number: | 9175799872 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2014 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |