Doctor Name: | LYUDMILA KOGAN |
NPI Number: | 1710132477 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | 009118 |
Business Practice Address: | 6259 108th St Apt.5g Forest Hills, NY - 113751357 |
Business Phone Number: | 9176504645 |
Business Fax Number: | 7188960243 |
Mailing Address: | 6259 108th St, Apt.5g FOREST HILLS |
State: | NY |
Postal Code: | 113751357 |
Phone Number: | 9176504645 |
Fax Number: | 7188960243 |
NPI Enumeration Date: | 11/22/2008 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 009118 |
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 |