Doctor Name: | EUGENE RAYMOND MURRAY |
NPI Number: | 1245504539 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 4113 |
Business Practice Address: | 21 Onderdonk Rd 21 Onderdonk Rd Glenville, NY - 123029746 |
Business Phone Number: | 5183997225 |
Business Fax Number: | |
Mailing Address: | 21 Onderdonk Rd, 21 Onderdonk Rd GLENVILLE |
State: | NY |
Postal Code: | 123029746 |
Phone Number: | 5183997225 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2012 |
NPI Last Update Date: | 03/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4113 |
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 |