PATRICIA DOUGLAS

PORT JEFFERSON STATION, NY
NPI1376318253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
Enumeration Date2023-11-20
Last Update Date2023-11-20
Business Address
PATRICIA DOUGLAS
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1217
Phone number: 631-473-4284
Mailing Address
PATRICIA DOUGLAS
317 MADISON ST
WEST ISLIP, NY 11795-2219
Phone number: