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Contact Information

THERESA BLUMENTHAL, CCC-SLP
380 OLD TOWN ROAD
EAST SETAUKET, NY11733-3499
 Phone: 631-730-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for THERESA BLUMENTHAL · (Female)

NPI # 1720357916
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 12/19/2011
Last updated 12/19/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 018705
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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