TRACEY HENNING

BAY SHORE, NY
NPI1376672956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  012283)
Enumeration Date2007-03-02
Last Update Date2016-10-06
Business Address
-- TRACEY HENNING
36 CLEVELAND ST
BAY SHORE, NY 11706-5814
Phone number: 631-647-5151
Mailing Address
-- TRACEY HENNING
36 CLEVELAND ST
BAY SHORE, NY 11706-5814
Phone number: 631-647-5151