Doctor Name: | MR. MICHAEL LUNA |
NPI Number: | 1952623092 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP, M.A. |
License Number: | SP 10556 |
Business Practice Address: | 14901 National Ave Suite # 102 Los Gatos, CA - 950322637 |
Business Phone Number: | 4083583631 |
Business Fax Number: | 4083584537 |
Mailing Address: | 14901 National Ave, Suite # 102 LOS GATOS |
State: | CA |
Postal Code: | 950322637 |
Phone Number: | 4083583631 |
Fax Number: | 4083584537 |
NPI Enumeration Date: | 02/16/2010 |
NPI Last Update Date: | 02/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 10556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |