Doctor Name: | MRS. PEGGYANN WALDRON |
NPI Number: | 1962613109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 016422 |
Business Practice Address: | 601 Sherrill Rd Sherrill, NY - 134611461 |
Business Phone Number: | 3153638288 |
Business Fax Number: | |
Mailing Address: | 49 Burrstone Road, Apt. 1b NEW YORK MILLS |
State: | NY |
Postal Code: | 13417 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/26/2007 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016422 |
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 |