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Organization
WESTCHESTER-PUNAM THERATEAM
Active
Organization
WESTCHESTER-PUNAM THERATEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN BELLOM CLINSCD (OWNER/SPEECH-PATHOLOGIST)
(845) 519-2295
Entity
Organization
Contact information
Practice address
572 ROUTE 6, MAHOPAC, NY 10541
(845) 519-2295
Mailing address
572 ROUTE 6, MAHOPAC, NY 10541
(845) 519-2294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022069-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04195828
—
NY
Enumeration date
09/25/2017
Last updated
09/25/2017
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