Individual
MRS. JAMIE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 ROUND TREE DR, MELVILLE, NY 11747-3314
(516) 241-0848
Mailing address
19 ROUND TREE DR, MELVILLE, NY 11747-3314
(516) 241-0848
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
906647991
NY
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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