Doctor Name: | EDDWADO PERKIN |
NPI Number: | 1649513383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.CCC-SLP |
License Number: | 462354190 |
Business Practice Address: | 1308 Matthew Dr Mesquite, TX - 751497700 |
Business Phone Number: | 7736408340 |
Business Fax Number: | |
Mailing Address: | 1308 Matthew Dr, MESQUITE |
State: | TX |
Postal Code: | 751497700 |
Phone Number: | 7736408340 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2013 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 462354190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |