Doctor Name: | MR. JAVIER ALBERTO TERRONES CAMPOS |
NPI Number: | 1477690584 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 017798 |
Business Practice Address: | 33 Walt Whitman Rd 300 B Huntington Station, NY - 117463640 |
Business Phone Number: | 6313857780 |
Business Fax Number: | |
Mailing Address: | 2 Atlantic Pl, EAST NORTHPORT |
State: | NY |
Postal Code: | 117312837 |
Phone Number: | 6313857780 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 017798 |
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 |