MRS. Stacey L Blumberg, M.S. CCC-SLP

NPI #1205972122 in Melville, New York

Provider Information

NPI Number
1205972122
Entity Type
Individual
Name
MRS. Stacey L Blumberg, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Jan 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
109 BREELEY BLVD
ZIP Code
11747-5332
Phone
(516) 637-7648

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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