MRS. Lori Distefano, SLP-CCC
NPI #1386785129 in Massapequa, New York
Provider Information
- NPI Number
- 1386785129
- Entity Type
- Individual
- Name
- MRS. Lori Distefano, SLP-CCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP-CCC
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 OXFORD PL
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-5233
- Phone
- (516) 798-7508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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