Doctor Name: | MS. MONIKA M HEATH |
NPI Number: | 1932412921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 020218 |
Business Practice Address: | 409 Riverside Ave Elmira, NY - 149041519 |
Business Phone Number: | 6077353850 |
Business Fax Number: | |
Mailing Address: | 512 Clark St, Apt 3 WAVERLY |
State: | NY |
Postal Code: | 148921054 |
Phone Number: | 6073723611 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020218 |
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 |