Doctor Name: | ANGELA LAWALL MERCED |
NPI Number: | 1326315649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA., CCC-SLP |
License Number: | 016218-1 |
Business Practice Address: | 750 Maiden Ln Greece, NY - 146151230 |
Business Phone Number: | 5859662860 |
Business Fax Number: | |
Mailing Address: | 78 Walbert Dr, ROCHESTER |
State: | NY |
Postal Code: | 146243223 |
Phone Number: | 5859932703 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016218-1 |
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 |