Doctor Name: | SADIA LATRICE HOLFORD |
NPI Number: | 1992949317 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 22404 Linden Blvd Jamaica, NY - 114111725 |
Business Phone Number: | 7187123358 |
Business Fax Number: | |
Mailing Address: | 19704 111th Ave, SAINT ALBANS |
State: | NY |
Postal Code: | 114121716 |
Phone Number: | 3476523320 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2009 |
NPI Last Update Date: | 04/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |