Doctor Name: | MS. MARIA ARACELLI LOPEZ-LAVALLE |
NPI Number: | 1881995769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 017260 |
Business Practice Address: | 21211 41st Ave Ste 1 Bayside, NY - 113612032 |
Business Phone Number: | 3478042356 |
Business Fax Number: | |
Mailing Address: | 21211 41st Ave, BAYSIDE |
State: | NY |
Postal Code: | 113612032 |
Phone Number: | 3478042356 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 017260 |
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 |