Doctor Name: | ALIYA MARIE SHEPHARD |
NPI Number: | 1356597017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | 58-018150 |
Business Practice Address: | 1586 Eggert Rd Amherst, NY - 142263361 |
Business Phone Number: | 7162045925 |
Business Fax Number: | |
Mailing Address: | 3478 Timothy Ln, EAST AURORA |
State: | NY |
Postal Code: | 140529610 |
Phone Number: | 7166522812 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2008 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 58-018150 |
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 |