Healthcare Provider Details

I. General information

NPI: 1417864349
Provider Name (Legal Business Name): UNVEIL DISCOVER SPEECH THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 ALCOTT PL
BRONX NY
10475-4201
US

IV. Provider business mailing address

120 ALCOTT PL APT 27E
BRONX NY
10475-4208
US

V. Phone/Fax

Practice location:
  • Phone: 646-290-1637
  • Fax:
Mailing address:
  • Phone: 646-290-1637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MARY OFOSU-YEBOAH
Title or Position: FOUNDER
Credential: CCC-SLP, BE, TSSLD
Phone: 646-290-1637