Individual
AILEEN THERESA MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP TSSLD
Contact information
Practice address
418 MARK TREE RD, EAST SETAUKET, NY 11733-1002
(631) 790-6775
Mailing address
418 MARK TREE RD, EAST SETAUKET, NY 11733-1002
(631) 780-6775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019058-1
NY
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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