Doctor Name: | JOANN STASIA HUPRICH |
NPI Number: | 1417147828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA2937 |
Business Practice Address: | 5550 Spring Lake Ter Boynton Beach, FL - 334373350 |
Business Phone Number: | 5612525030 |
Business Fax Number: | 5617323397 |
Mailing Address: | Po Box 741644, BOYNTON BEACH |
State: | FL |
Postal Code: | 334741644 |
Phone Number: | 5612525030 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 07/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA2937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |