Doctor Name: | AILEEN THERESA MCDERMOTT |
NPI Number: | 1306073895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP TSSLD |
License Number: | 019058-1 |
Business Practice Address: | 418 Mark Tree Rd East Setauket, NY - 117331002 |
Business Phone Number: | 6317906775 |
Business Fax Number: | |
Mailing Address: | 418 Mark Tree Rd, EAST SETAUKET |
State: | NY |
Postal Code: | 117331002 |
Phone Number: | 6317806775 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2009 |
NPI Last Update Date: | 06/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019058-1 |
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 |