Doctor Name: | LARISSA TORRES |
NPI Number: | 1477835304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 013910 |
Business Practice Address: | 75 Park Ave Port Chester, NY - 105732441 |
Business Phone Number: | 9149347995 |
Business Fax Number: | |
Mailing Address: | 1 Consulate Dr, Apt 4c TUCKAHOE |
State: | NY |
Postal Code: | 107072410 |
Phone Number: | 9142028819 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2011 |
NPI Last Update Date: | 09/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 013910 |
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 |