Doctor Name: | MRS. SHELLEY S GLUCK |
NPI Number: | 1861705501 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 006016-1 |
Business Practice Address: | 1053 Saw Mill River Rd Ardsley, NY - 105021048 |
Business Phone Number: | 9146740733 |
Business Fax Number: | |
Mailing Address: | 129 Barnard Rd, NEW ROCHELLE |
State: | NY |
Postal Code: | 108011300 |
Phone Number: | 9145764390 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2010 |
NPI Last Update Date: | 07/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 006016-1 |
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 |