THERESA MARIE LANE

MERRICK, NY
NPI1326343930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  020598)
Enumeration Date2011-01-13
Last Update Date2018-09-28
Business Address
Mrs. THERESA MARIE LANE MA CCC-SLP
1812 GARDENIA AVE
MERRICK, NY 11566-1503
Phone number: 516-503-4017
Mailing Address
Mrs. THERESA MARIE LANE MA CCC-SLP
191 E NEW YORK AVE
VALLEY STREAM, NY 11580-6016
Phone number: 516-503-4017
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