SOUTH SHORE SPEECH PATHOLOGY

PATCHOGUE, NY
NPI1952000887
Entity TypeOrganization
Authorized ContactREGINA PROVISIERO
Speech Pathologist
631-525-7514
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2023-02-28
Last Update Date2023-02-28
Business Address
SOUTH SHORE SPEECH PATHOLOGY
440 WAVERLY AVE STE 12
PATCHOGUE, NY 11772-7602
Phone number: 631-730-8653
Mailing Address
SOUTH SHORE SPEECH PATHOLOGY
440 WAVERLY AVE STE 12
PATCHOGUE, NY 11772-7602
Phone number: 631-730-8653
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