Individual
MRS. CHRISTINA ROSE MADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2650 GREAT NECK RD, COPIAGUE, NY 11726-1600
(631) 842-4015
Mailing address
14 LINCOLN AVE, MASSAPEQUA PARK, NY 11762-2618
(917) 478-7887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026123-1
NY
Other
Enumeration date
11/28/2016
Last updated
08/30/2022
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