Doctor Name: | TAMARA WEBSTER |
NPI Number: | 1700024601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S,, CCC-SLP |
License Number: | 016315 |
Business Practice Address: | 1676 Sunset Ave Faxton St. Luke's Healthcare Utica, NY - 135025475 |
Business Phone Number: | 3156245455 |
Business Fax Number: | |
Mailing Address: | 1676 Sunset Ave, Faxton St. Luke's Healthcare UTICA |
State: | NY |
Postal Code: | 135025475 |
Phone Number: | 3156245455 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2009 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016315 |
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 |