Healthcare Provider Details

I. General information

NPI: 1619129707
Provider Name (Legal Business Name): WESTCHESTER SPEECH & LANGUAGE SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 DEEP WELL FARMS RD
SOUTH SALEM NY
10590-1916
US

IV. Provider business mailing address

3 DEEP WELL FARMS RD
SOUTH SALEM NY
10590-1916
US

V. Phone/Fax

Practice location:
  • Phone: 914-671-3175
  • Fax: 914-533-7267
Mailing address:
  • Phone: 914-671-3175
  • Fax: 914-533-7267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number008404-1
License Number StateNY

VIII. Authorized Official

Name: MS. NANCY CIANCAGLINI
Title or Position: SPEECH-LANGUAGE PATHOLOGIST/OWNER
Credential: M.S., CCC-SLP
Phone: 914-671-3175