Doctor Name: | MRS. RANDY C DORFMAN |
NPI Number: | 1275775991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP, BRS-FD |
License Number: | 006965-1 |
Business Practice Address: | 15 Algonquin Cir Airmont, NY - 109525231 |
Business Phone Number: | 8454266595 |
Business Fax Number: | 8455781502 |
Mailing Address: | 15 Algonquin Cir, AIRMONT |
State: | NY |
Postal Code: | 109525231 |
Phone Number: | 8454266595 |
Fax Number: | 8455781502 |
NPI Enumeration Date: | 03/26/2009 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 006965-1 |
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 |