Doctor Name: | MS. DOMENIQUE B CANINO |
NPI Number: | 1295086759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.ED |
License Number: | 008676-1 |
Business Practice Address: | 53 Main St Highland, NY - 125281407 |
Business Phone Number: | 9144744052 |
Business Fax Number: | |
Mailing Address: | 53 Main St, HIGHLAND |
State: | NY |
Postal Code: | 125281407 |
Phone Number: | 9144744052 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2012 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 008676-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |