Doctor Name: | MISS MAGDALENA MERCEDES MASSONE |
NPI Number: | 1841523453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 019527-1 |
Business Practice Address: | 33 Walt Whitman Rd Huntington Station, NY - 117463640 |
Business Phone Number: | 6313857780 |
Business Fax Number: | |
Mailing Address: | 9922 67th Rd Apt 4d, FOREST HILLS |
State: | NY |
Postal Code: | 113753083 |
Phone Number: | 6316979102 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2009 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019527-1 |
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 |