Doctor Name: | MRS. CHERYL IRENE DEMETROS |
NPI Number: | 1487809117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC-SLP |
License Number: | 003916-1 |
Business Practice Address: | 15 Hastings Dr Beacon, NY - 125082056 |
Business Phone Number: | 8458384436 |
Business Fax Number: | 8458388883 |
Mailing Address: | 147 Cherrywood Dr, FISHKILL |
State: | NY |
Postal Code: | 125242809 |
Phone Number: | 8458316370 |
Fax Number: | 8458388883 |
NPI Enumeration Date: | 11/21/2008 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003916-1 |
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 |