Individual
CASEY HAGERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
348 N WISCONSIN AVE, MASSAPEQUA, NY 11758-1747
(516) 492-4562
Mailing address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 248-7572
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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