Individual
MS. BEVIN O'BRIEN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
20 BERGEN ST, BROOKLYN, NY 11201-6302
(908) 902-3556
Mailing address
139 E 33RD ST, APT 4J, NEW YORK, NY 10016-5338
(908) 902-3556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015915-1
NY
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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