MRS. Debra Lynn Fennelly, M.S.,CCC/SLP

NPI #1134436082 in Deer Park, New York

Provider Information

NPI Number
1134436082
Entity Type
Individual
Name
MRS. Debra Lynn Fennelly, M.S.,CCC/SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S.,CCC/SLP
Enumeration Date
Sep 13, 2010
Last Updated
Sep 13, 2010

Practice Location

Address
1014 GRAND BLVD
Address 2
SUITE 5
ZIP Code
11729-5782
Phone
(631) 243-1764

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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