Doctor Name: | CYNTHIA MAE WHITAKER |
NPI Number: | 1396913653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 11197 |
Business Practice Address: | 1 Madrone St Willits, CA - 954904225 |
Business Phone Number: | 7074596801 |
Business Fax Number: | |
Mailing Address: | 1559 Camellia Pl, WILLITS |
State: | CA |
Postal Code: | 954909405 |
Phone Number: | 7073718608 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |