Doctor Name: | MRS. RACHELLE STACY KUPERMAN |
NPI Number: | 1962713669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 41YS00661600 |
Business Practice Address: | 57 Union Pl Suite 204 Summit, NJ - 079012568 |
Business Phone Number: | 9732022919 |
Business Fax Number: | |
Mailing Address: | 6 Yale St, MAPLEWOOD |
State: | NJ |
Postal Code: | 070402706 |
Phone Number: | 9732022919 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2010 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00661600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |