Individual
MRS. CHRISTY HENCKEN TAVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
580 CORONA AVE NORTH - VALLEY STREAM SD 13, VALLEY STREAM, NY 11580
(516) 568-6220
Mailing address
59 PLYMOUTH DRIVE SOUTH, GLEN HEAD, NY 11545
(516) 851-7935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016947
NY
235Z00000X
Speech-Language Pathologist
—
NY
Other
Enumeration date
01/29/2007
Last updated
06/30/2020
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