Doctor Name: | MICHELLE E GREENBERG |
NPI Number: | 1972643567 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP, TSSLD |
License Number: | 016614 |
Business Practice Address: | 47 Humphrey Dr Syosset, NY - 117914022 |
Business Phone Number: | 5169217171 |
Business Fax Number: | 5169216503 |
Mailing Address: | 1610 Court North Dr, MELVILLE |
State: | NY |
Postal Code: | 117478115 |
Phone Number: | 6314708018 |
Fax Number: | 6314708018 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 11/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016614 |
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 |