Individual
MRS. ANNA MARY LAUREN BALLOSINGH-PICARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
15 BROADWAY, GREENLAWN, NY 11740
(631) 262-0113
(631) 262-0113
Mailing address
15 BROADWAY, GREENLAWN, NY 11740
(631) 262-0113
(631) 262-0113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
061533-1
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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