Doctor Name: | MS. KERRY A LANDAU |
NPI Number: | 1215234620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 010463 |
Business Practice Address: | 6 Unity Ct Nesconset, NY - 117671069 |
Business Phone Number: | 6313614960 |
Business Fax Number: | 6313618814 |
Mailing Address: | 6 Unity Ct, NESCONSET |
State: | NY |
Postal Code: | 117671069 |
Phone Number: | 6313614960 |
Fax Number: | 6313618814 |
NPI Enumeration Date: | 02/21/2011 |
NPI Last Update Date: | 02/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010463 |
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 |