Doctor Name: | MRS. CARRIE ROSE TYO |
NPI Number: | 1467722645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 012758 |
Business Practice Address: | 84 Nightengale Avenue Massena, NY - 13662 |
Business Phone Number: | 3157643700 |
Business Fax Number: | |
Mailing Address: | 320 Crescent Dr, MASSENA |
State: | NY |
Postal Code: | 136624107 |
Phone Number: | 3157643700 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 012758 |
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 |