Doctor Name: | CARI M. TELLIS |
NPI Number: | 1336217942 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | SL006394L |
Business Practice Address: | 190 Welles St Forty Fort, PA - 187044968 |
Business Phone Number: | 5702830524 |
Business Fax Number: | 5702830302 |
Mailing Address: | 190 Welles St, FORTY FORT |
State: | PA |
Postal Code: | 187044968 |
Phone Number: | 5702830524 |
Fax Number: | 5702830302 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL006394L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |