Doctor Name: | LYNNEMARIE GAGNE-LEBLANC |
NPI Number: | 1740533447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 021771 |
Business Practice Address: | 777 N Broadway Suite 303 Sleepy Hollow, NY - 105911000 |
Business Phone Number: | 9143663016 |
Business Fax Number: | |
Mailing Address: | 11 Marlorville Rd, WAPPINGERS FALLS |
State: | NY |
Postal Code: | 125903140 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 021771 |
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 |