Doctor Name: | MRS. ALEXIS BREINBERG |
NPI Number: | 1770621823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. C.C.C.-S.L.P. |
License Number: | 014080 |
Business Practice Address: | 104 Majestic Dr Dix Hills, NY - 117464935 |
Business Phone Number: | 6314995404 |
Business Fax Number: | |
Mailing Address: | 11 Trescott St, DIX HILLS |
State: | NY |
Postal Code: | 117467146 |
Phone Number: | 6315861756 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 014080 |
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 |