Doctor Name: | SARA FELLUS |
NPI Number: | 1669851952 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 8000 Utopia Pkwy St. John's Hall Room 145 Jamaica, NY - 114399000 |
Business Phone Number: | 7189906271 |
Business Fax Number: | |
Mailing Address: | 8000 Utopia Pkwy, St. John's Hall Room 145 JAMAICA |
State: | NY |
Postal Code: | 114399000 |
Phone Number: | 7189906271 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2015 |
NPI Last Update Date: | 05/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |