Most Relevant Information
Provider Data
| NPI Number: | 1003055708 |
| Provider Name: | JACQUELINE CHRISTINE DOLSON-SHEWCHUK MSLP CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 015993-1 |
Most Important Dates
| Enumeration Date: | 02/19/2009 |
| Last Updated: | 02/19/2009 |
Provider Practice Location
241 W 72ND ST # 2
NEW YORK
NY
100232703
Practice Location Phone/Fax
| Phone: | 2125801910 |
| Fax: | 2125801910 |
Provider Mailing Location
78 W 85TH ST APT 5D
NEW YORK
NY
100244568
Provider Mailing Phone/Fax
| Phone: | 2125955352 |
| Fax: | 2125801910 |