Doctor Name: | MRS. ELLEN FREY WINEMAN |
NPI Number: | 1538435243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SL002395L |
Business Practice Address: | 551 W Lancaster Ave Haverford, PA - 190411419 |
Business Phone Number: | 6105254000 |
Business Fax Number: | 6105266742 |
Mailing Address: | 608 Crum Creek Rd, MEDIA |
State: | PA |
Postal Code: | 190631646 |
Phone Number: | 6105254000 |
Fax Number: | 6105266742 |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL002395L |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |