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Organization
STEP AHEAD SPEECH, INC
Active
Organization
STEP AHEAD SPEECH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA SHISHKIN M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(646) 829-7969
Entity
Organization
Contact information
Practice address
1839 E 13TH ST, SUITE 1, BROOKLYN, NY 11229-2807
(646) 829-7969
(718) 891-1281
Mailing address
1839 E 13TH ST, BROOKLYN, NY 11229-2807
(646) 829-7969
(718) 891-1281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03456631
—
NY
Enumeration date
02/04/2016
Last updated
02/04/2016
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