Doctor Name: | MS. CYNTHIA MITTEAGER |
NPI Number: | 1487083937 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.ED., CCC-SLP |
License Number: | 022652-1 |
Business Practice Address: | 155 Washington Ave Cobleskill, NY - 120434704 |
Business Phone Number: | 5182344032 |
Business Fax Number: | 5182946425 |
Mailing Address: | 2133 County Highway 10, LAURENS |
State: | NY |
Postal Code: | 137961119 |
Phone Number: | 6074346276 |
Fax Number: | 5182946425 |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 022652-1 |
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 |