Doctor Name: | VICTORIA BLASI |
NPI Number: | 1407005184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 015685-1 |
Business Practice Address: | 200 Belle Terre Rd Port Jefferson, NY - 117771928 |
Business Phone Number: | 6314746111 |
Business Fax Number: | 6314746861 |
Mailing Address: | 200 Belle Terre Rd, PORT JEFFERSON |
State: | NY |
Postal Code: | 117771928 |
Phone Number: | 6314746111 |
Fax Number: | 6314746861 |
NPI Enumeration Date: | 09/17/2008 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015685-1 |
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 |