Organization Name: | ASPYR SPEECH LANGUAGE PATHOLOGY SERVICES, PC |
NPI Number: | 1760701726 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLADYS CECILIA JIMENEZ (PRESIDENT) |
Mailing Address: | 6143 186th St Suite C113/114 Fresh Meadows |
State: | NY US |
Postal Code: | 113652710 |
Phone Number: | 6463258889 |
Fax Number: | 3474108174 |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015087 |
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 |