Doctor Name: | STACY LORRAINE RICHARD |
NPI Number: | 1265869531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 023212-1 |
Business Practice Address: | 325 5th Ave Frankfort, NY - 133403622 |
Business Phone Number: | 3157177442 |
Business Fax Number: | 3158950062 |
Mailing Address: | 325 5th Ave, FRANKFORT |
State: | NY |
Postal Code: | 133403622 |
Phone Number: | 3157177442 |
Fax Number: | 3158950062 |
NPI Enumeration Date: | 10/02/2013 |
NPI Last Update Date: | 10/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 023212-1 |
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 |