Doctor Name: | MRS. LEORA MCINNES |
NPI Number: | 1356557482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 016391 |
Business Practice Address: | 35 Longwood Rd Middle Island, NY - 119532045 |
Business Phone Number: | 6319240008 |
Business Fax Number: | 6319241243 |
Mailing Address: | 277 Kensington Ave, BAYPORT |
State: | NY |
Postal Code: | 117051825 |
Phone Number: | 5163172533 |
Fax Number: | 6315392290 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016391 |
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 |