Doctor Name: | MIMI DRYCE SCHULTZ |
NPI Number: | 1215247598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC, SLP |
License Number: | 3391-1 |
Business Practice Address: | 56 Cathedral Ave Garden City, NY - 115302819 |
Business Phone Number: | 5164781050 |
Business Fax Number: | |
Mailing Address: | 408 Frankel Boulevard, MERRICK |
State: | NY |
Postal Code: | 115665054 |
Phone Number: | 5164556032 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2010 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3391-1 |
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 |