Doctor Name: | MR. IRA LANCE GARTENBERG |
NPI Number: | 1598982894 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | SL006241L |
Business Practice Address: | 270 N Tamenend Ave New Britain, PA - 189015158 |
Business Phone Number: | 2154890292 |
Business Fax Number: | |
Mailing Address: | 270 N Tamenend Ave, NEW BRITAIN |
State: | PA |
Postal Code: | 189015158 |
Phone Number: | 2154890292 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL006241L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |