Organization Name: | VALLEY STREAM DISTRICT 13 |
NPI Number: | 1245500743 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA GROOTHUIS (SPEECH PATHOLOGIST) |
Mailing Address: | 880 Catalpa Dr Franklin Square |
State: | NY US |
Postal Code: | 110104028 |
Phone Number: | 5165686640 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2011 |
NPI Last Update Date: | 12/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01112444 |
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 |