# THE SPEECH GARDEN, SPEECH THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912371667
- **Authorized official:** MS. CHRISTINE GENNA M.S. CCC-SLP, TSSLD (DIRECTOR)
- **Authorized official phone:** (845) 541-9045

## Contact information

- **Practice address:** 143 WAVERLY AVE, BROOKLYN, NY 11205-2403
- **Practice address phone:** (845) 541-9045
- **Mailing address:** 143 WAVERLY AVE, BROOKLYN, NY 11205-2403
- **Mailing address phone:** (845) 541-9045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 021917 | NY | Yes |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 11/18/2015
