Doctor Name: | ELIZABETH LYNN TERWILLIGER |
NPI Number: | 1528016722 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SL005381L |
Business Practice Address: | 372 Broad St Waverly, NY - 148921443 |
Business Phone Number: | 6075658070 |
Business Fax Number: | |
Mailing Address: | 163 Center St, P.o. Box 307 WAVERLY |
State: | NY |
Postal Code: | 148921129 |
Phone Number: | 6075653450 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005381L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |