Doctor Name: | MR. JAMES KNISELEY |
NPI Number: | 1790019834 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS CCC, SLP |
License Number: | SA 6851 |
Business Practice Address: | 8110 Oakton Ct # 10c West Palm Beach, FL - 334068460 |
Business Phone Number: | 5618895809 |
Business Fax Number: | |
Mailing Address: | 8110 Oakton Ct #10c, WEST PALM BEACH |
State: | FL |
Postal Code: | 334067835 |
Phone Number: | 5618895809 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2009 |
NPI Last Update Date: | 02/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 6851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |