Doctor Name: | JENNIFER CORCORAN |
NPI Number: | 1760733844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 020953-1 |
Business Practice Address: | 620 Sleepy Hollow Road Briarcliff Manor, NY - 10510 |
Business Phone Number: | 8453601200 |
Business Fax Number: | 8452913833 |
Mailing Address: | 6 Logans Way, HOPEWELL JUNCTION |
State: | NY |
Postal Code: | 12533 |
Phone Number: | 8458973330 |
Fax Number: | 8458973753 |
NPI Enumeration Date: | 09/28/2012 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020953-1 |
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 |