Doctor Name: | ERIKA M PELLETIER |
NPI Number: | 1497903413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 009770 |
Business Practice Address: | 184 Wendy Ln Delanson, NY - 120531815 |
Business Phone Number: | 5186692527 |
Business Fax Number: | 5188756761 |
Mailing Address: | 184 Wendy Ln, DELANSON |
State: | NY |
Postal Code: | 120531815 |
Phone Number: | 5186692527 |
Fax Number: | 5188756761 |
NPI Enumeration Date: | 09/03/2008 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 009770 |
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 |