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Organization
EVOLVE SLP THERAPY SERVICES PLLC
Active
Organization
EVOLVE SLP THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH TAHHAN-JACKSON SLP (CO-OWNER)
(914) 417-1755
Entity
Organization
Contact information
Practice address
2877 MEAD ST, YORKTOWN HEIGHTS, NY 10598
(914) 417-1755
Mailing address
2877 MEAD ST, YORKTOWN HEIGHTS, NY 10598
(914) 417-1755
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
NULL
174N00000X
Lactation Consultant (Non-RN)
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
01/25/2024
Last updated
04/22/2024
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