Doctor Name: | MRS. GELA MICHELLE FUXMAN |
NPI Number: | 1780725143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 12027859 |
Business Practice Address: | 3920 Mystic Valley Pkwy #309 Medford, MA - 021556912 |
Business Phone Number: | 7813960949 |
Business Fax Number: | 7813960949 |
Mailing Address: | 3920 Mystic Valley Pkwy, #309 MEDFORD |
State: | MA |
Postal Code: | 02155 |
Phone Number: | 7813960949 |
Fax Number: | 7813960949 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12027859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |