# CHILDREN'S SPEECH AND REHABILITATION THERAPY, AND SPEECH-LANGUAGE PATH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Speech and Rehabilitation Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598019721
- **Authorized official:** MS. JANA VITALE MA (OWNER/DIRECTOR)
- **Authorized official phone:** (516) 827-1970

## Contact information

- **Practice address:** 191 FOREST AVE UNIT 2B, LOCUST VALLEY, NY 11560-2143
- **Practice address phone:** (516) 827-1970
- **Practice address fax:** (516) 827-0035
- **Mailing address:** 191 FOREST AVE UNIT 2B, LOCUST VALLEY, NY 11560-2143
- **Mailing address phone:** (516) 827-1970
- **Mailing address fax:** (516) 827-0035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2012
- **Last updated:** 05/01/2018