Individual
ALLISON ANN DIBENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP TSHH
Contact information
Practice address
189 WHEATLEY ROAD, BROOKVILLE, NY 11545-2699
(516) 626-1000
Mailing address
14632 WILLETS POINT BLVD, WHITESTONE, NY 11357-3543
(516) 263-8797
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013035-1
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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