Doctor Name: | MRS. LAUREN STEPHANIE RESNICK |
NPI Number: | 1932254224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC,SLP |
License Number: | 005908 |
Business Practice Address: | 2 Otsego Pl Jericho, NY - 117531406 |
Business Phone Number: | 5164651217 |
Business Fax Number: | 5169385402 |
Mailing Address: | 2 Otsego Pl, JERICHO |
State: | NY |
Postal Code: | 117531406 |
Phone Number: | 5164651217 |
Fax Number: | 5169385402 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 005908 |
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 |