Doctor Name: | MS. MAUREEN ELLA HENNESSY |
NPI Number: | 1497950216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCCSLP |
License Number: | SP4922 |
Business Practice Address: | 36759 Rocksprings Rd Pomeroy, OH - 457699730 |
Business Phone Number: | 7409926606 |
Business Fax Number: | 7409922678 |
Mailing Address: | 1998 Martin St, POMEROY |
State: | OH |
Postal Code: | 457691298 |
Phone Number: | 7409921415 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP4922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |