Doctor Name: | MRS. DIANA D LA SORSA |
NPI Number: | 1215181508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SL/P |
License Number: | 004031-1 |
Business Practice Address: | 254 Increase Miller Rd Katonah, NY - 105362711 |
Business Phone Number: | 9142325517 |
Business Fax Number: | 9142325616 |
Mailing Address: | 254 Increase Miller Rd, KATONAH |
State: | NY |
Postal Code: | 105362711 |
Phone Number: | 9142325517 |
Fax Number: | 9142325616 |
NPI Enumeration Date: | 11/12/2008 |
NPI Last Update Date: | 11/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004031-1 |
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 |