Individual
CHRISTINA C JEANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
945 FENWOOD DR, #4, VALLEY STREAM, NY 11580-1702
(516) 792-3777
Mailing address
945 FENWOOD DR, #4, VALLEY STREAM, NY 11580-1702
(516) 792-3777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015744-1
NY
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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