Doctor Name: | PAOLA TREJOS |
NPI Number: | 1518382126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 023548 |
Business Practice Address: | 24818 Francis Lewis Blvd Rosedale, NY - 114222237 |
Business Phone Number: | 3476237007 |
Business Fax Number: | |
Mailing Address: | 24818 Francis Lewis Blvd, ROSEDALE |
State: | NY |
Postal Code: | 114222237 |
Phone Number: | 3476237007 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2014 |
NPI Last Update Date: | 02/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 023548 |
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 |