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Individual

SULLY MADINABEITIA

Active
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Individual

SULLY MADINABEITIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CCC-SLP, TSSLD-BE

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
036410
NY
235Z00000X
Speech-Language Pathologist
Primary
P130238
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036410
LICENSE
NY
Enumeration date
09/03/2024
Last updated
03/03/2026
About Stedi
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