Individual
BARBARA SELEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC/SLP
Contact information
Practice address
264 BEACH 19 STREET, FAR ROCKAWAY, NY 11691
(718) 868-2961
Mailing address
1710 BROOKHAVEN AVE, FAR ROCKAWAY, NY 11691-4408
(718) 327-2722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006088-1
NY
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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