Doctor Name: | SALLY JO EASTON |
NPI Number: | 1477791754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH-LANGUAGE PATH |
License Number: | 0062741-1 |
Business Practice Address: | 170 Intrepid Lane Highpeaks Rehab & Dev. Center Syracuse, NY - 13205 |
Business Phone Number: | 3154928319 |
Business Fax Number: | 3154923758 |
Mailing Address: | 170 Intrepid Lane, Highpeaks Rehab & Dev. Center SYRACUSE |
State: | NY |
Postal Code: | 13205 |
Phone Number: | 3154928319 |
Fax Number: | 3154923758 |
NPI Enumeration Date: | 01/26/2009 |
NPI Last Update Date: | 01/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0062741-1 |
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 |