Doctor Name: | MRS. ANDREA VAN EPPS |
NPI Number: | 1659739498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, SLP, C.C.C. |
License Number: | 009441-1 |
Business Practice Address: | 230 Van Buren St Shirley, NY - 119672944 |
Business Phone Number: | 6318741296 |
Business Fax Number: | |
Mailing Address: | 3 Tallmadge Trl, MILLER PLACE |
State: | NY |
Postal Code: | 117642330 |
Phone Number: | 6318741296 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2016 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 009441-1 |
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 |