MS. Mercedes Costello, M.A., CCC-SLP
NPI #1093031254 in South Richmond Hill, New York
Provider Information
- NPI Number
- 1093031254
- Entity Type
- Individual
- Name
- MS. Mercedes Costello, M.A., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A., CCC-SLP
- Enumeration Date
- Apr 13, 2010
- Last Updated
- Dec 15, 2010
Practice Location
- Address
- 11515 101ST AVE
- State
- New York
- ZIP Code
- 11419-1247
- Phone
- (718) 441-5333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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