Doctor Name: | DR. LUCIANO PAUL TELESMANIC |
NPI Number: | 1235396938 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | 2934 |
Business Practice Address: | 7065 N Chestnut Ave Suite 101 Fresno, CA - 937200355 |
Business Phone Number: | 5594397041 |
Business Fax Number: | |
Mailing Address: | 7065 N Chestnut Ave, Suite 101 FRESNO |
State: | CA |
Postal Code: | 937200355 |
Phone Number: | 5594397041 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |