NPI | 1508008251 |
---|---|
Former Name | PATTI JEAN JACKE-TERMINELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA9828) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CT 000212) |
231H00000X Audiologist (Licence: FL AY1537) | |
231H00000X Audiologist (Licence: NY 000528-1) | |
235Z00000X Speech-Language Pathologist (Licence: CT 002993) | |
235Z00000X Speech-Language Pathologist (Licence: NY 010690-1) | |
Enumeration Date | 2009-03-26 |
Last Update Date | 2009-03-26 |