Doctor Name: | MRS. AGAR MCNULTY |
NPI Number: | 1548344302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SA 7419 |
Business Practice Address: | 9508 Griffin Rd Cooper City, FL - 333283416 |
Business Phone Number: | 9546890730 |
Business Fax Number: | 8887259013 |
Mailing Address: | 9508 Griffin Rd, COOPER CITY |
State: | FL |
Postal Code: | 333283416 |
Phone Number: | 9546890730 |
Fax Number: | 8887259013 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 7419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |