THERESA SHANLEY MASSIMI

KINGSTON, NY
NPI1023320660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  00260001)
Enumeration Date2010-07-12
Last Update Date2010-07-12
Business Address
-- THERESA SHANLEY MASSIMI
275 FAIR ST
KINGSTON, NY 12401-3800
Phone number: 845-399-0192
Mailing Address
-- THERESA SHANLEY MASSIMI
PO BOX 130
BLOOMINGTON, NY 12411-0130
Phone number: 845-399-0192