Doctor Name: | MRS. JODY R. GERTNER |
NPI Number: | 1952454118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC |
License Number: | 003166-1 |
Business Practice Address: | 2815 Bellmore Ave Bellmore, NY - 117104327 |
Business Phone Number: | 5167850264 |
Business Fax Number: | 5167838533 |
Mailing Address: | 2815 Bellmore Ave, BELLMORE |
State: | NY |
Postal Code: | 117104327 |
Phone Number: | 5167850264 |
Fax Number: | 5167838533 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003166-1 |
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 |