Doctor Name: | MRS. NISHA HYCIE MENDES |
NPI Number: | 1932161734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | LL00003777 |
Business Practice Address: | 3136 Vivian St Magna, UT - 840441760 |
Business Phone Number: | 8014136582 |
Business Fax Number: | |
Mailing Address: | 3136 Vivian St, MAGNA |
State: | UT |
Postal Code: | 840441760 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/05/2006 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003777 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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 |