Doctor Name: | JULIANNE DREYER |
NPI Number: | 1295139442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 004827 |
Business Practice Address: | 725 Park Ave Bridgeport, CT - 066044619 |
Business Phone Number: | 2033663653 |
Business Fax Number: | |
Mailing Address: | 17 Holbrook St, Apt. 2f ANSONIA |
State: | CT |
Postal Code: | 064011205 |
Phone Number: | 2038922601 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |