Doctor Name: | RUTH KOGEL |
NPI Number: | 1821307737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 015092-1 |
Business Practice Address: | 230 Van Buren St Shirley, NY - 119672944 |
Business Phone Number: | 6318741296 |
Business Fax Number: | 6318741296 |
Mailing Address: | Po Box 43, SHOREHAM |
State: | NY |
Postal Code: | 117860043 |
Phone Number: | 6318210210 |
Fax Number: | 6318210210 |
NPI Enumeration Date: | 09/27/2010 |
NPI Last Update Date: | 09/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015092-1 |
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 |