Doctor Name: | MRS. JESSICA MARIE O'LEAR |
NPI Number: | 1467790048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP, TSSLD |
License Number: | 023013 |
Business Practice Address: | 127 Woodside Ave Briarcliff Manor, NY - 105101461 |
Business Phone Number: | 9144885282 |
Business Fax Number: | |
Mailing Address: | 67 Woodford Rd, SCARSDALE |
State: | NY |
Postal Code: | 105834745 |
Phone Number: | 9144848893 |
Fax Number: | 9149693019 |
NPI Enumeration Date: | 01/16/2013 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 023013 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |