Doctor Name: | MRS. DIANA GADAYEVA |
NPI Number: | 1508006057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 014515-1 |
Business Practice Address: | 14107 Coolidge Ave Briarwood, NY - 114351120 |
Business Phone Number: | 7184419774 |
Business Fax Number: | 7184419774 |
Mailing Address: | 14107 Coolidge Ave, BRIARWOOD |
State: | NY |
Postal Code: | 114351120 |
Phone Number: | 7184419774 |
Fax Number: | 7184419774 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 014515-1 |
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 |