Doctor Name: | MARY SUZANNE SECKINGER |
NPI Number: | 1528489580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 41YS00548800 |
Business Practice Address: | 524 N West Blvd Vineland, NJ - 083602845 |
Business Phone Number: | 8564054323 |
Business Fax Number: | |
Mailing Address: | 524 N West Blvd, VINELAND |
State: | NJ |
Postal Code: | 083602845 |
Phone Number: | 8564054323 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2013 |
NPI Last Update Date: | 11/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00548800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |