MRS. Theresa Marie Lane, MA CCC-SLP

NPI #1326343930 in Merrick, New York

Provider Information

NPI Number
1326343930
Entity Type
Individual
Name
MRS. Theresa Marie Lane, MA CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MA CCC-SLP
Enumeration Date
Jan 13, 2011
Last Updated
Sep 28, 2018

Practice Location

Address
1812 GARDENIA AVE
ZIP Code
11566-1503
Phone
(516) 503-4017

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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