Individual
MISS AUDREY JEANNE SCOLLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP, TSSLD
Contact information
Practice address
49 WIRELESS BLVD, SUITE 170, HAUPPAUGE, NY 11788-3965
(631) 382-7311
(631) 382-7399
Mailing address
49 WIRELESS BLVD, SUITE 170, HAUPPAUGE, NY 11788-3965
(631) 382-7311
(631) 382-7399
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NY
174400000X
Specialist
—
NY
235Z00000X
Speech-Language Pathologist
Primary
019663-1
NY
Other
Enumeration date
03/23/2010
Last updated
07/03/2012
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