Doctor Name: | JULIE MIROWICZ |
NPI Number: | 1952440778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 017592 |
Business Practice Address: | 79 High Ave Nyack, NY - 109602603 |
Business Phone Number: | 9193067132 |
Business Fax Number: | 8457125272 |
Mailing Address: | 79 High Ave, NYACK |
State: | NY |
Postal Code: | 109602603 |
Phone Number: | 9193067132 |
Fax Number: | 8457125272 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 10/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 017592 |
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 |