Doctor Name: | COREY ADAMS |
NPI Number: | 1720384092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 18766 |
Business Practice Address: | 1291 Craig Ave Lakeport, CA - 954535704 |
Business Phone Number: | 9184941471 |
Business Fax Number: | |
Mailing Address: | 4213 S Redbud Ave, BROKEN ARROW |
State: | OK |
Postal Code: | 740113912 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/04/2011 |
NPI Last Update Date: | 02/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18766 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |