Doctor Name: | MRS. MAIDA CHRISTINE RASMUSSEN |
NPI Number: | 1275728032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL008918 |
Business Practice Address: | 3054 Enterprise Dr State College, PA - 168012755 |
Business Phone Number: | 8142346023 |
Business Fax Number: | |
Mailing Address: | 3054 Enterprise Dr, STATE COLLEGE |
State: | PA |
Postal Code: | 168012755 |
Phone Number: | 8143214340 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008918 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |