MEDICARE: SPEECH MATTERS SLP PLLC

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
1	235Z00000X	Speech-Language Pathologist	003145-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275968034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH MATTERS SLP PLLC

Provider Business Mailing Address
First Line	:	210 E 86TH ST RM 202
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-7728
Country	:	US
Telephone Number	:	212-861-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 E 86TH ST RM 202
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-7728
Country	:	US
Telephone Number	:	212-861-7800
Fax Number	:

Authorized Official
Title or Position	:	CERTIFIED SPEECH PATHOLOGIST
Name	:	LINDA BEJOIAN
Credential	:
Telephone Number	:	212-861-7800

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	09/11/2013

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Directions to “SPEECH MATTERS SLP PLLC ” Practice Location

Language	Start Address	Practice Location

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