# SUFFOLK SPEECH-LANGUAGE PATHOLOGY ASS. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suffolk Speech and language Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558671974
- **Authorized official:** MRS. LAUREN BETH GOLDSTEIN MS, CCC, SLP (DIRECTOR)
- **Authorized official phone:** (631) 474-2124

## Contact information

- **Practice address:** 28 SHADY TREE LN, PORT JEFFERSON, NY 11777-1924
- **Practice address phone:** (631) 474-2124
- **Practice address fax:** (631) 474-2124
- **Mailing address:** 28 SHADY TREE LN, PORT JEFFERSON, NY 11777-1924
- **Mailing address phone:** (631) 474-2124
- **Mailing address fax:** (631) 474-2124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 005839 | NY | Yes |

## Other

- **Enumeration date:** 10/19/2010
- **Last updated:** 10/19/2010