Doctor Name: | MS. CAMILLE ANNE GEORGE |
NPI Number: | 1629267760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP8466 |
Business Practice Address: | 1929a E Royalton Rd Broadview Hts, OH - 441472809 |
Business Phone Number: | 4408380990 |
Business Fax Number: | 4408388440 |
Mailing Address: | 1929a E Royalton Rd, BROADVIEW HTS |
State: | OH |
Postal Code: | 441472809 |
Phone Number: | 4408380990 |
Fax Number: | 4408388440 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP8466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |