Organization
GATEWAY-LONGVIEW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET MARIE SCHULTZ MORELOCK MA, CCC-SLP, NYS LIC (SPEECH-LANGUAGE PATHOLOGIST)
(716) 773-3238
Entity
Organization
Contact information
Practice address
5360 GENESEE ST, BOWMANSVILLE, NY 14026-1044
(716) 781-3138
Mailing address
5360 GENESEE ST, BOWMANSVILLE, NY 14026-1044
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0053741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005374-1
NYS LICENSE
NY
01
—
01044033
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION ACCOUNT NUMBER
NY
Enumeration date
12/06/2010
Last updated
12/06/2010
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