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Organization
MEMORY PATH WELLNESS LLC
Active
Organization
MEMORY PATH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MICHELE HANSEN MA, CCC-SLP (OWNER)
(917) 997-8234
Entity
Organization
Contact information
Practice address
42 LUCY LOOP, STATEN ISLAND, NY 10312-3660
(917) 997-8234
(718) 967-6244
Mailing address
42 LUCY LOOP, STATEN ISLAND, NY 10312-3660
(917) 997-8234
(718) 967-6244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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