Doctor Name: | MRS. ERIKA WITT |
NPI Number: | 1366695223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC-SLP |
License Number: | 007510-1 |
Business Practice Address: | 6725 188th St Fresh Meadows, NY - 113653767 |
Business Phone Number: | 7184546460 |
Business Fax Number: | 7184540661 |
Mailing Address: | 1 Empire Ct, COMMACK |
State: | NY |
Postal Code: | 117251106 |
Phone Number: | 6318642983 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2008 |
NPI Last Update Date: | 10/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 007510-1 |
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 |