Doctor Name: | NANCY FENDER |
NPI Number: | 1407165145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 002211-1 |
Business Practice Address: | 27a Shelter Rock Rd Manhasset, NY - 110303903 |
Business Phone Number: | 5162677450 |
Business Fax Number: | |
Mailing Address: | 23 Prospect Ave, GLEN COVE |
State: | NY |
Postal Code: | 115421930 |
Phone Number: | 5166760638 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2010 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 002211-1 |
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 |