LISA CEBALLO

PORT JEFFERSON STATION, NY
NPI1891247516
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2016-10-28
Last Update Date2016-10-28
Business Address
-- LISA CEBALLO
39 RUSH ST
PORT JEFFERSON STATION, NY 11776-3922
Phone number: 631-766-7623
Mailing Address
-- LISA CEBALLO
39 RUSH ST
PORT JEFFERSON STATION, NY 11776-3922
Phone number: 631-766-7623
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