Doctor Name: | VANESSA CHAN |
NPI Number: | 1467708578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 017171-1 |
Business Practice Address: | 7111 Yellowstone Blvd Apt. 7-o Forest Hills, NY - 113753541 |
Business Phone Number: | 9176550054 |
Business Fax Number: | |
Mailing Address: | 7111 Yellowstone Blvd, Apt. 7-o FOREST HILLS |
State: | NY |
Postal Code: | 113753541 |
Phone Number: | 9176550054 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2012 |
NPI Last Update Date: | 07/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 017171-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |