Doctor Name: | MRS. DORIS MABEL PAMELA LIZA ESPINOZA |
NPI Number: | 1740435114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, SLP, TSHH |
License Number: | 015502 |
Business Practice Address: | 2038 Crescent St Apt. 1b Astoria, NY - 111054304 |
Business Phone Number: | 3475272055 |
Business Fax Number: | |
Mailing Address: | 2038 Crescent St, Apt. 1b ASTORIA |
State: | NY |
Postal Code: | 111054304 |
Phone Number: | 3475272055 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015502 |
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 |