Doctor Name: | DESIREE JENNIFER SCHEPP |
NPI Number: | 1902133150 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 019640 |
Business Practice Address: | 6575 Kirkville Rd East Syracuse, NY - 130579809 |
Business Phone Number: | 3157860677 |
Business Fax Number: | |
Mailing Address: | 108 Beresford Ln, MINOA |
State: | NY |
Postal Code: | 131161950 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 11/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019640 |
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 |