Doctor Name: | MS. JANICE ELAINE GREEN |
NPI Number: | 1255623617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASLP |
License Number: | 020655 |
Business Practice Address: | 440 Clifton Springs Professional Park Clifton Springs, NY - 14432 |
Business Phone Number: | 3154623588 |
Business Fax Number: | 3154626590 |
Mailing Address: | 440 Clifton Springs Professional Park, CLIFTON SPRINGS |
State: | NY |
Postal Code: | 14432 |
Phone Number: | 3154623588 |
Fax Number: | 3154626590 |
NPI Enumeration Date: | 05/04/2011 |
NPI Last Update Date: | 05/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020655 |
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 |