Doctor Name: | SAMANTHA CORSELLI |
NPI Number: | 1871883298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 020866-1 |
Business Practice Address: | 14 Sturbridge Ct Nanuet, NY - 109541032 |
Business Phone Number: | 8456233658 |
Business Fax Number: | |
Mailing Address: | 66 S Stone Ave, ELMSFORD |
State: | NY |
Postal Code: | 105233607 |
Phone Number: | 9142753408 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2011 |
NPI Last Update Date: | 04/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020866-1 |
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 |