Organization Name: | NEW YORK NEUROGENIC SPEECH-LANGUAGE PATHOLOGY, P.C. |
NPI Number: | 1639306046 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARISSA A. BARRERA (OWNER, SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 32 Jasmine Ln Kings Park |
State: | NY US |
Postal Code: | 117543925 |
Phone Number: | 9179520633 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016751-1 |
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 |