MEDICARE: MS. HAILIN TCHOU M.S. CCC-SLP

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	252Y00000X	Early Intervention Provider Agency	015925-1	NY

General Provider Information

NPI Number	:	1366691693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HAILIN TCHOU M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	6902 NARROWS AVE
Second Line	:	3A
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1025
Country	:	US
Telephone Number	:	917-887-6592
Fax Number	:

Provider Business Practice Location Address
First Line	:	6902 NARROWS AVE
Second Line	:	3A
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1025
Country	:	US
Telephone Number	:	917-887-6592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2008
Last Update Date	:	09/10/2008

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