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Individual

TERRI ELBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH

Contact information

Practice address
22 GUYENCOURT RD, GREENVILLE, DE 19807-1416
(818) 257-3881
Mailing address
22 GUYENCOURT RD, GREENVILLE, DE 19807-1416
(818) 257-3881

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021234-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021234-1
SPEECH-LANGUAGE PATHOLOGIST
NY
01
82-4509163
SPEECH-LANGUAGE PATHOLOGIST
Enumeration date
02/10/2020
Last updated
02/10/2020
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