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Contact Information

SPEECH OT THERAPY PLLC
159 W FULTON ST
LONG BEACH, NY11561-1933
 Phone: 718-327-1757
 Fax: 516-431-1706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
 

Mental Health

225XM0800X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SPEECH OT THERAPY PLLC · (Female)

NPI Number 1568737054
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2012
Last updated 03/15/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 014591-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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