Suffolk Speech-Language Pathology Ass PC
Suffolk Speech-Language Pathology Ass PC is an Early Intervention Provider Agency in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2010.
- Licensed in
- NY
- In the registry since
- 2010
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
28 Shady Tree LnPort Jefferson, NY 11777-1924
Phone: (631) 474-2124
Fax: (631) 474-2124
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 005839 (NY) |
|---|
Record details
| NPI number | 1558671974 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lauren Goldstein — Director · (631) 474-2124 |
| Other names | Suffolk Speech And Language Center |
| NPI enumerated | October 19, 2010 |
| Last updated in NPPES | October 19, 2010 |
| Mailing address | 28 Shady Tree Ln, Port Jefferson, NY 11777-1924 |