Individual
BRENNA TEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
9 HILAIRE DR, HUNTINGTON, NY 11743-3768
(631) 427-0254
Mailing address
13 CORTEZ LN, KINGS PARK, NY 11754-4528
(631) 478-9965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012704-1
NY
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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