Doctor Name: | ANGELA GORCZYNSKI |
NPI Number: | 1366850562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA12847 |
Business Practice Address: | 1800 Penn St Suite 12 Melbourne, FL - 329012643 |
Business Phone Number: | 3217686800 |
Business Fax Number: | 3217686858 |
Mailing Address: | 1800 Penn St, Suite 12 MELBOURNE |
State: | FL |
Postal Code: | 329012643 |
Phone Number: | 3217686800 |
Fax Number: | 3217686858 |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA12847 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |