NPI | 1942435201 |
---|---|
Former Name | ALYCIA BAUCH WHITNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008164) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00403400) |
235Z00000X Speech-Language Pathologist, (Licence: PA SL007286) | |
235Z00000X Speech-Language Pathologist, (Licence: SC 6092) | |
Enumeration Date | 2009-05-15 |
Last Update Date | 2020-11-11 |