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Organization
LIFESPAN SPEECH AND SWALLOWING SERVICES
Active
Organization
LIFESPAN SPEECH AND SWALLOWING SERVICES
Active
Other names
Speech Therapy for All CNY
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY DIRUZZO THOMAS (PRACTICE ADMINISTRATOR)
(315) 552-0406
Entity
Organization
Contact information
Practice address
4820 W TAFT RD STE 202, LIVERPOOL, NY 13088
(315) 552-0406
(315) 634-6230
Mailing address
4820 W TAFT RD STE 202, LIVERPOOL, NY 13088-2806
(315) 552-0406
(315) 634-6230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06039550
—
NY
Enumeration date
01/18/2021
Last updated
07/07/2026
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