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Organization
WATCH ME SHINE SLP PLLC
Active
Organization
WATCH ME SHINE SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLE RICCO (OWNER)
(646) 529-8982
Entity
Organization
Contact information
Practice address
4275 ARTHUR KILL RD # 4, STATEN ISLAND, NY 10309-1356
(646) 529-8982
Mailing address
4275 ARTHUR KILL RD # 4, STATEN ISLAND, NY 10309-1356
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/16/2024
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