Individual
BRIANNA MASCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
235 BLUE POINT AVE, BLUE POINT, NY 11715-1261
(631) 363-5749
Mailing address
235 BLUE POINT AVE, BLUE POINT, NY 11715-1261
(631) 363-5749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029219
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2019
Last updated
10/10/2019
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