Doctor Name: | ANDREA PINCUS |
NPI Number: | 1215211875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CF-SLP |
License Number: | SI 60245423 |
Business Practice Address: | 7454 Newcastle Golf Club Rd Newcastle, WA - 980599176 |
Business Phone Number: | 4254531508 |
Business Fax Number: | |
Mailing Address: | 7454 Newcastle Golf Club Rd, NEWCASTLE |
State: | WA |
Postal Code: | 980599176 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/30/2011 |
NPI Last Update Date: | 09/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SI 60245423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |