Doctor Name: | MS. REBECCA CORY MONTLACK |
NPI Number: | 1235367194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 7637 |
Business Practice Address: | 538 Broadhollow Rd Ste 202 Achieve Beyond Pediatric Therapy Services Melville, NY - 117473668 |
Business Phone Number: | 6313857780 |
Business Fax Number: | 6313857795 |
Mailing Address: | 538 Broadhollow Rd Ste 202, Achieve Beyond Pediatric Therapy Services MELVILLE |
State: | NY |
Postal Code: | 117473668 |
Phone Number: | 6313857780 |
Fax Number: | 6313857795 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7637 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |