| Doctor Name: | MS. PHYLLIS JANE QUARLES |
| NPI Number: | 1891964060 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC SLP C |
| License Number: | 01101951 |
| Business Practice Address: | 489 Main Street Pomeroy Hall University Of Vermont Eleanor M Luse Ctr Burlington, VT - 054050130 |
| Business Phone Number: | 8026563861 |
| Business Fax Number: | 8026562528 |
| Mailing Address: | 489 Main Street Pomeroy Hall, University Of Vermont Eleanor M Luse Ctr BURLINGTON |
| State: | VT |
| Postal Code: | 054050130 |
| Phone Number: | 8026563861 |
| Fax Number: | 8026562528 |
| NPI Enumeration Date: | 02/21/2008 |
| NPI Last Update Date: | 02/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01101951 |
| 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 |