Doctor Name: | AMBER MYHRE |
NPI Number: | 1285008607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 41YS00492300 |
Business Practice Address: | 933 Bonita Ln Manahawkin, NJ - 080502102 |
Business Phone Number: | 6092760877 |
Business Fax Number: | |
Mailing Address: | 933 Bonita Ln, MANAHAWKIN |
State: | NJ |
Postal Code: | 080502102 |
Phone Number: | 6092760877 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2015 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00492300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |