Doctor Name: | MRS. CHANDRAWATTIE LORICK |
NPI Number: | 1699072801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, TSLD |
License Number: | |
Business Practice Address: | 95-11 130th Street South Richmond Hill Queens, NY - 11419 |
Business Phone Number: | 7188058002 |
Business Fax Number: | |
Mailing Address: | 95-11 130th Street, South Richmond Hill QUEENS |
State: | NY |
Postal Code: | 11419 |
Phone Number: | 7188058002 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2011 |
NPI Last Update Date: | 02/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |