Doctor Name: | MRS. BRIDGET MARIE COMPETELLO |
NPI Number: | 1578849873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 020188 |
Business Practice Address: | 2 Larch Ave Floral Park, NY - 110012352 |
Business Phone Number: | 5163279307 |
Business Fax Number: | |
Mailing Address: | 16635 9th Ave Apt 3d, WHITESTONE |
State: | NY |
Postal Code: | 113572021 |
Phone Number: | 6469965057 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2011 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020188 |
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 |