Doctor Name: | MISS NINA PAULA KRAMER DUBE |
NPI Number: | 1942455035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC.SLP TSHH |
License Number: | 000932 |
Business Practice Address: | 10114 Shore Front Pkwy Unit A Rockaway Park, NY - 116942864 |
Business Phone Number: | 9179913739 |
Business Fax Number: | 7183609409 |
Mailing Address: | 10114 Shore Front Pkwy, Unit A ROCKAWAY PARK |
State: | NY |
Postal Code: | 116942864 |
Phone Number: | 9179913739 |
Fax Number: | 7183609409 |
NPI Enumeration Date: | 11/18/2008 |
NPI Last Update Date: | 11/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 000932 |
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 |