Doctor Name: | MRS. MARGARET MARY FUNICIELLO |
NPI Number: | 1770729410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 006018-1 |
Business Practice Address: | 16 State Route 9p Ballston Spa, NY - 120204287 |
Business Phone Number: | 5185846320 |
Business Fax Number: | 5185848800 |
Mailing Address: | 16 State Route 9p, BALLSTON SPA |
State: | NY |
Postal Code: | 120204287 |
Phone Number: | 5185846320 |
Fax Number: | 5185848800 |
NPI Enumeration Date: | 12/31/2008 |
NPI Last Update Date: | 12/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 006018-1 |
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 |