Doctor Name: | MR. ROBERT ERIC WALDRON |
NPI Number: | 1437446978 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC-SLP |
License Number: | 41YS00641700 |
Business Practice Address: | 29 Jefferson Pl Montvale, NJ - 076452338 |
Business Phone Number: | 2012644657 |
Business Fax Number: | 2013078847 |
Mailing Address: | 29 Jefferson Pl, MONTVALE |
State: | NJ |
Postal Code: | 076452338 |
Phone Number: | 2012644657 |
Fax Number: | 2013078847 |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00641700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |