Healthcare Provider Details

I. General information

NPI: 1033751979
Provider Name (Legal Business Name): CHAT & CHEW SPEECH THERAPY, P. L. L. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 10/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 JAY DR
NORTH BELLMORE NY
11710-1038
US

IV. Provider business mailing address

890 JAY DR
NORTH BELLMORE NY
11710-1038
US

V. Phone/Fax

Practice location:
  • Phone: 516-729-6283
  • Fax:
Mailing address:
  • Phone: 516-729-6283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE BUSGANG
Title or Position: OWNER/SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 516-729-6283