Doctor Name: | ROSE DOMINIQUE MCFADDEN |
NPI Number: | 1508290156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | |
Business Practice Address: | 308 W Emma St Union Gap, WA - 989031940 |
Business Phone Number: | 5092481985 |
Business Fax Number: | 5094574281 |
Mailing Address: | 3712 Carriage Park Ln, Apt #2 YAKIMA |
State: | WA |
Postal Code: | 989026354 |
Phone Number: | 3166408165 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2013 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |