Doctor Name: | GINA G HISLOP |
NPI Number: | 1659692994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S CCC-SLP |
License Number: | 741869 |
Business Practice Address: | 140 Prescott St North Andover, MA - 018451826 |
Business Phone Number: | 9786858086 |
Business Fax Number: | |
Mailing Address: | 18 Upton Dr, TYNGSBORO |
State: | MA |
Postal Code: | 018791427 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/22/2010 |
NPI Last Update Date: | 06/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 741869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |