Doctor Name: | CHRISTINA CECERO |
NPI Number: | 1902167422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S CCC-SLP |
License Number: | 41YS00660200 |
Business Practice Address: | 711 Troy Schenectady Rd Suite 216 Latham, NY - 121102442 |
Business Phone Number: | 5187861665 |
Business Fax Number: | 5187850056 |
Mailing Address: | 711 Troy Schenectady Rd, Suite 209 LATHAM |
State: | NY |
Postal Code: | 121102442 |
Phone Number: | 5187861667 |
Fax Number: | 5187861954 |
NPI Enumeration Date: | 05/31/2012 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00660200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
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 |