Doctor Name: | ROBBY JOEL DESJARDINS |
NPI Number: | 1295948859 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SPEECH PATHOLOGIST |
License Number: | 94 |
Business Practice Address: | 88 Fox St Suite 101 Madawaska, ME - 047561352 |
Business Phone Number: | 2077286341 |
Business Fax Number: | 2077287762 |
Mailing Address: | 88 Fox St, Suite 101 MADAWASKA |
State: | ME |
Postal Code: | 047561352 |
Phone Number: | 2077286341 |
Fax Number: | 2077287762 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 94 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |