Doctor Name: | MRS. ELIZABETH ANN JOLINE |
NPI Number: | 1588809784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 010595 |
Business Practice Address: | 344 Main Street Mount Kisco, NY - 10549 |
Business Phone Number: | 9146669553 |
Business Fax Number: | |
Mailing Address: | 11 Weeks Ct, BALDWIN PLACE |
State: | NY |
Postal Code: | 105052022 |
Phone Number: | 9146287151 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2008 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010595 |
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 |