Individual
MRS. CAITLIN ANNE MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
99 HOLLYWOOD DR, SMITHTOWN, NY 11787-3135
(631) 366-5868
Mailing address
12 SOMERSET RD, ROCKY POINT, NY 11778-9612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023229-1
NY
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/12/2011
Last updated
03/17/2018
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