Organization
SUFFOLK SPEECH-LANGUAGE PATHOLOGY ASS. P.C.
Active
Other names
Suffolk Speech and language Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN BETH GOLDSTEIN MS, CCC, SLP (DIRECTOR)
(631) 474-2124
Entity
Organization
Contact information
Practice address
28 SHADY TREE LN, PORT JEFFERSON, NY 11777-1924
(631) 474-2124
(631) 474-2124
Mailing address
28 SHADY TREE LN, PORT JEFFERSON, NY 11777-1924
(631) 474-2124
(631) 474-2124
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
005839
NY
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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