Doctor Name: | MISS JESSICA RIYADH BABBY |
NPI Number: | 1770901217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CF-SLP/L |
License Number: | 7101004278 |
Business Practice Address: | 15209 Chesapeake Cir Walled Lake, MI - 483905909 |
Business Phone Number: | 2482246161 |
Business Fax Number: | |
Mailing Address: | 15209 Chesapeake Cir, WALLED LAKE |
State: | MI |
Postal Code: | 483905909 |
Phone Number: | 2482246161 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2014 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101004278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |