# SPECTRUM THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154824555
- **Authorized official:** DIANA DEVIVIO MS IN ED, PD IN ED (SUPERINTENDENT)
- **Authorized official phone:** (631) 385-3342

## Contact information

- **Practice address:** 21 SWEET HOLLOW RD, HUNTINGTON, NY 11743-6530
- **Practice address phone:** (631) 385-3342
- **Mailing address:** 21 SWEET HOLLOW RD, HUNTINGTON, NY 11743-6530
- **Mailing address phone:** (631) 385-3342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 03/12/2018