Doctor Name: | MRS. COLLEEN ROBBINS POUQUETTE |
NPI Number: | 1881632578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | AZSLP0044 |
Business Practice Address: | 812 Valley St Prescott, AZ - 863051826 |
Business Phone Number: | 9284451309 |
Business Fax Number: | 9284450914 |
Mailing Address: | Po Box 11312, PRESCOTT |
State: | AZ |
Postal Code: | 863041312 |
Phone Number: | 9284451309 |
Fax Number: | 9284450914 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | AZSLP0044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |