Doctor Name: | EVELINA VANINA RODRIGUEZ |
NPI Number: | 1801030747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. SLP |
License Number: | 018979 |
Business Practice Address: | 333 Westchester Ave White Plains, NY - 106042910 |
Business Phone Number: | 9143282868 |
Business Fax Number: | |
Mailing Address: | 21 Shoreview Dr, Apt 2 YONKERS |
State: | NY |
Postal Code: | 107101948 |
Phone Number: | 9144331702 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2009 |
NPI Last Update Date: | 01/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 018979 |
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 |