Organization
CHILDREN'S SPEECH AND REHABILITATION THERAPY, AND SPEECH-LANGUAGE PATH
Active
Other names
Children's Speech and Rehabilitation Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANA VITALE MA (OWNER/DIRECTOR)
(516) 827-1970
Entity
Organization
Contact information
Practice address
191 FOREST AVE UNIT 2B, LOCUST VALLEY, NY 11560-2143
(516) 827-1970
(516) 827-0035
Mailing address
191 FOREST AVE UNIT 2B, LOCUST VALLEY, NY 11560-2143
(516) 827-1970
(516) 827-0035
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
05/01/2018
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