Doctor Name: | DR. BARBARA P. MASTRIANO |
NPI Number: | 1447543004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | #00168948 |
Business Practice Address: | One West Elm St. Suite 100 Mercylife Program Conshohocken, PA - 19428 |
Business Phone Number: | 6105675218 |
Business Fax Number: | 6105676375 |
Mailing Address: | 1901 John F. Kennedy Blvd., Apt. 2418 PHILADELPHIA |
State: | PA |
Postal Code: | 19103 |
Phone Number: | 6095046124 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2011 |
NPI Last Update Date: | 05/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | #00168948 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |