Organization
27 EAST SPEECH-LANGUAGE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA M POTTER MS CCC-SLP, TSSLD (OWNER)
(631) 201-8870
Entity
Organization
Contact information
Practice address
29 HICKORY BEND, SPEONK, NY 11972
(631) 201-8870
Mailing address
PO BOX 207, SPEONK, NY 11972-0207
(631) 201-8870
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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