Doctor Name: | ELISABEL JIMENEZ CHANG |
NPI Number: | 1881055416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., SLP |
License Number: | |
Business Practice Address: | 12335 82nd Rd Kew Gardens, NY - 114151611 |
Business Phone Number: | 6462362969 |
Business Fax Number: | 7185540636 |
Mailing Address: | Po Box 150278, KEW GARDENS |
State: | NY |
Postal Code: | 114150278 |
Phone Number: | 6462362969 |
Fax Number: | 7185540636 |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |