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Organization
VALLEY STREAM DISTRICT 13
Active
Organization
VALLEY STREAM DISTRICT 13
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA GROOTHUIS (SPEECH PATHOLOGIST)
(516) 568-6640
Entity
Organization
Contact information
Practice address
880 CATALPA DR, FRANKLIN SQUARE, NY 11010-4028
(516) 568-6640
Mailing address
880 CATALPA DR, FRANKLIN SQUARE, NY 11010-4028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01112444
NY
Other
Enumeration date
12/31/2011
Last updated
12/31/2011
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