Doctor Name: | LUKE A NYE |
NPI Number: | 1457724973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. CCC-SLP |
License Number: | SP. 11671 |
Business Practice Address: | 269 Portland Way S Galion, OH - 448332312 |
Business Phone Number: | 4194684841 |
Business Fax Number: | |
Mailing Address: | 269 Portland Way S, GALION |
State: | OH |
Postal Code: | 448332312 |
Phone Number: | 4194684841 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2015 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP. 11671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |