Doctor Name: | MRS. BONNIE MARTEL |
NPI Number: | 1548683949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CCC |
License Number: | 010804-1 |
Business Practice Address: | 117 Grand Street Altamont, NY - 12009 |
Business Phone Number: | 5188618528 |
Business Fax Number: | |
Mailing Address: | 19 Edgewood Ave, ALBANY |
State: | NY |
Postal Code: | 122032111 |
Phone Number: | 5184638866 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2014 |
NPI Last Update Date: | 01/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010804-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |