Doctor Name: | MRS. SHEILA MARIE MINER |
NPI Number: | 1538470059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | Picketts Corners Road Saranac, NY - 12981 |
Business Phone Number: | 5185655900 |
Business Fax Number: | 5185655890 |
Mailing Address: | 18 Picketts Corners Road, SARANAC |
State: | NY |
Postal Code: | 12981 |
Phone Number: | 5185655900 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2010 |
NPI Last Update Date: | 06/30/2010 |
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 |