| Organization Name: | METTOWEE VALLEY SPEECH THERAPY SERVICES, PLLC |
| NPI Number: | 1770831877 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLAUDIA H ELLIS (OWNER/SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 88 Mettowee St Granville |
| State: | NY US |
| Postal Code: | 128324826 |
| Phone Number: | 5186423942 |
| Fax Number: | 5186423768 |
| NPI Enumeration Date: | 08/21/2012 |
| NPI Last Update Date: | 08/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 006966-1 |
| 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 |