Doctor Name: | BROOKE GASLOW |
NPI Number: | 1497020259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 019262 |
Business Practice Address: | 1751 Route 17a Florida, NY - 10921 |
Business Phone Number: | 8453418157 |
Business Fax Number: | |
Mailing Address: | 552 Adirondack Ct, MAHWAH |
State: | NJ |
Postal Code: | 074302743 |
Phone Number: | 2019622592 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2012 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019262 |
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 |