Doctor Name: | MS. L'CORIUS M. LATIMER |
NPI Number: | 1578854550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 020829 |
Business Practice Address: | 3310 Queens Blvd Suite 301 Long Island City, NY - 111012660 |
Business Phone Number: | 7185934121 |
Business Fax Number: | 7182682646 |
Mailing Address: | 1325 5th Ave, Apt # 2c NEW YORK |
State: | NY |
Postal Code: | 100292660 |
Phone Number: | 9175613967 |
Fax Number: | 2124267927 |
NPI Enumeration Date: | 04/26/2011 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020829 |
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 |