Doctor Name: | ELIZABETH HENRY |
NPI Number: | 1730590811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 41YS00603200 |
Business Practice Address: | 255 E Main St #301 Moorestown, NJ - 080572982 |
Business Phone Number: | 8562351214 |
Business Fax Number: | |
Mailing Address: | 590 N Atlantic Ave, #301 COLLINGSWOOD |
State: | NJ |
Postal Code: | 081083425 |
Phone Number: | 8566697453 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2014 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00603200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |