Doctor Name: | MRS. SUSAN ANN BORD |
NPI Number: | 1821309287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 007476-1 |
Business Practice Address: | 1020 Mary St Utica, NY - 135011930 |
Business Phone Number: | 3157379012 |
Business Fax Number: | 3157379017 |
Mailing Address: | 4 Hartford Ter, NEW HARTFORD |
State: | NY |
Postal Code: | 134132308 |
Phone Number: | 3157929628 |
Fax Number: | 3158962717 |
NPI Enumeration Date: | 06/30/2010 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 007476-1 |
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 |