Doctor Name: | MARA ELISE STEINBERG |
NPI Number: | 1417215518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 06640 |
Business Practice Address: | 6766 108th St Apt D28 Forest Hills, NY - 113752901 |
Business Phone Number: | 5166394884 |
Business Fax Number: | |
Mailing Address: | 6766 108th St, Apt D28 FOREST HILLS |
State: | NY |
Postal Code: | 113752901 |
Phone Number: | 5166394884 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2012 |
NPI Last Update Date: | 07/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06640 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |