Doctor Name: | MISS BLESSLY MATHEWS |
NPI Number: | 1346360773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 015641 |
Business Practice Address: | 1 Landmark Sq Apt 530 Port Chester, NY - 105733353 |
Business Phone Number: | 9144814156 |
Business Fax Number: | |
Mailing Address: | 1 Landmark Square Unit#530, PORT CHESTER |
State: | NY |
Postal Code: | 10573 |
Phone Number: | 9144814156 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015641 |
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 |