Doctor Name: | MRS. BEVERLY ANN HENKE-LOFQUIST |
NPI Number: | 1396009106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP/NYSL |
License Number: | 020770-1 |
Business Practice Address: | 59 North St Geneseo, NY - 144541140 |
Business Phone Number: | 5855197711 |
Business Fax Number: | |
Mailing Address: | 59 North St, GENESEO |
State: | NY |
Postal Code: | 144541140 |
Phone Number: | 5855197711 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2012 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020770-1 |
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 |