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NPI Code Detail

MEDICARE: L.S. SPEECH THERAPY PC

MEDICARE: L.S. SPEECH THERAPY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1073885802
Entity Type Code : Organization
Provider Name (Legal Business Name) : L.S. SPEECH THERAPY PC
Provider Business Mailing Address
First Line : 2643 E 24TH ST
Second Line : APT 1A
City : BROOKLYN
State : NY
Zip : 11235-2609
Country : US
Telephone Number : 917-885-4458
Fax Number : 718-743-7626
Provider Business Practice Location Address
First Line : 2643 E 24TH ST
Second Line : APT 1A
City : BROOKLYN
State : NY
Zip : 11235-2609
Country : US
Telephone Number : 917-885-4458
Fax Number : 718-743-7626
Authorized Official
Title or Position : SPEECH AND LANGUAGE PATHOLOGIT
Name : MRS. LINDA SHERMAN
Credential : CCC-SLP
Telephone Number : 917-885-4458
Provider Enumeration Date : 02/09/2012
Last Update Date : 02/09/2012

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Directions to “L.S. SPEECH THERAPY PC ” Practice Location

Language Start Address Practice Location
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