Doctor Name: | MR. QING XU |
NPI Number: | 1700032992 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC-SLP |
License Number: | 2695 |
Business Practice Address: | 2221 Highway 39 N Suite D Meridian, MS - 393012636 |
Business Phone Number: | 6015811191 |
Business Fax Number: | 6015813292 |
Mailing Address: | Po Box 3519, MERIDIAN |
State: | MS |
Postal Code: | 393033519 |
Phone Number: | 6015811191 |
Fax Number: | 6015813292 |
NPI Enumeration Date: | 08/07/2008 |
NPI Last Update Date: | 08/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |