Doctor Name: | NANCY FOSSETTA |
NPI Number: | 1851631188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 41YS00233900 |
Business Practice Address: | 4257 Route 9 N Freehold, NJ - 077288310 |
Business Phone Number: | 7323039660 |
Business Fax Number: | 7323031810 |
Mailing Address: | 4257 Route 9 N, FREEHOLD |
State: | NJ |
Postal Code: | 077288310 |
Phone Number: | 7323039660 |
Fax Number: | 7323031810 |
NPI Enumeration Date: | 02/23/2013 |
NPI Last Update Date: | 02/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00233900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |