SUSAN ALISSA MIRMAN

EAST NORTHPORT, NY
NPI1083922439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  010905-1)
Enumeration Date2010-09-20
Last Update Date2010-09-20
Business Address
Mrs. SUSAN ALISSA MIRMAN CCC/SLP
5 STONEHENGE LN
EAST NORTHPORT, NY 11731-4519
Phone number: 631-266-1751
Mailing Address
Mrs. SUSAN ALISSA MIRMAN CCC/SLP
5 STONEHENGE LN
EAST NORTHPORT, NY 11731-4519
Phone number: 631-266-1751