Organization
MICHELE PASQUALE SPEECH LANGUAGE PATHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE PASQUALE MA CCC SLP (SPEECH LANGUAGE PATHOLOGIST)
6312440000754
Entity
Organization
Contact information
Practice address
240 SAINT LAWRENCE ST, SAYVILLE, NY 11782-2111
(631) 244-0075
Mailing address
240 SAINT LAWRENCE ST, SAYVILLE, NY 11782-2111
(631) 244-0075
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0131871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03661561
—
NY
Enumeration date
02/27/2016
Last updated
02/27/2016
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