Individual
MRS. CHRISTINE ALLISON MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
189 ACADEMY ST, BAYPORT, NY 11705-1704
(631) 472-7860
Mailing address
2 BARON CT, STONY BROOK, NY 11790-3202
(631) 793-5252
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
006834-1
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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