Doctor Name: | JOEL WENTWORTH |
NPI Number: | 1366695330 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. CCC-SLP |
License Number: | 009918-1 |
Business Practice Address: | 6 Wright Rd Chester, NY - 109181716 |
Business Phone Number: | 8452164381 |
Business Fax Number: | 8456103247 |
Mailing Address: | 6 Wright Rd, CHESTER |
State: | NY |
Postal Code: | 109181716 |
Phone Number: | 8452164381 |
Fax Number: | 8456103247 |
NPI Enumeration Date: | 11/03/2008 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 009918-1 |
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 |