Doctor Name: | DEBRA JOVICIC |
NPI Number: | 1316350614 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP.7350 |
Business Practice Address: | 55707 Industrial Dr Bridgeport, OH - 439121516 |
Business Phone Number: | 7406350853 |
Business Fax Number: | |
Mailing Address: | 531 W 47th St, SHADYSIDE |
State: | OH |
Postal Code: | 439471046 |
Phone Number: | 7406767445 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2014 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.7350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |