Doctor Name: | JOANN TESSANDORI |
NPI Number: | 1376620245 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0271 |
Business Practice Address: | 2200 E Parrish Ave Ste 105c Owensboro, KY - 423031450 |
Business Phone Number: | 2706912699 |
Business Fax Number: | 2706912677 |
Mailing Address: | 2200 E Parrish Ave Ste 105c, OWENSBORO |
State: | KY |
Postal Code: | 423031450 |
Phone Number: | 2706912699 |
Fax Number: | 2706912677 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |