Lady Johanna Dicesa, SLP, TSLD
NPI #1003163049 in Forest Hills, New York
Provider Information
- NPI Number
- 1003163049
- Entity Type
- Individual
- Name
- Lady Johanna Dicesa, SLP, TSLD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP, TSLD
- Enumeration Date
- Aug 9, 2012
- Last Updated
- Jan 25, 2024
Practice Location
- Address
- 7000 AUSTIN ST
- Address 2
- SUITE 200
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375-1022
- Phone
- (718) 762-7633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
| Student in an Organized Health Care Education/Training Program |
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