Doctor Name: | MS. WENDY CLARK RAY |
NPI Number: | 1972810505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.-C.C.C., S.L.P. |
License Number: | 007699-1 |
Business Practice Address: | 72 Vanderveer Rd Freehold, NJ - 077288800 |
Business Phone Number: | 7326164545 |
Business Fax Number: | 7322525418 |
Mailing Address: | 72 Vanderveer Rd, FREEHOLD |
State: | NJ |
Postal Code: | 077288800 |
Phone Number: | 7326164545 |
Fax Number: | 7322525418 |
NPI Enumeration Date: | 09/02/2010 |
NPI Last Update Date: | 09/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 007699-1 |
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 |