MRS. Linda Marie Fasullo, M.S. CCC/SLP
NPI #1376825349 in East Setauket, New York
Provider Information
- NPI Number
- 1376825349
- Entity Type
- Individual
- Name
- MRS. Linda Marie Fasullo, M.S. CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC/SLP
- Enumeration Date
- Sep 15, 2011
- Last Updated
- Sep 15, 2011
Practice Location
- Address
- 5 STURROCK WAY
- City
- East Setauket
- State
- New York
- ZIP Code
- 11733-1046
- Phone
- (631) 941-0103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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