Doctor Name: | MRS. ANGELA JEAN PIKUL |
NPI Number: | 1285997874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC/SLP |
License Number: | 000964-1 |
Business Practice Address: | 10 Fisher Ave Mohawk, NY - 134071537 |
Business Phone Number: | 3158664851 |
Business Fax Number: | |
Mailing Address: | 5 Wood St, WHITESBORO |
State: | NY |
Postal Code: | 134922420 |
Phone Number: | 3157369561 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 000964-1 |
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 |