Mid-Island Speech Language Pathology, Pllc
NPI #1780191288 in Holbrook, New York
Provider Information
- NPI Number
- 1780191288
- Entity Type
- Organization
- Organization Name
- Mid-Island Speech Language Pathology, Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 5, 2018
- Last Updated
- Jan 5, 2018
Practice Location
Authorized Official
- Name
- MRS. JACLYN HAVLICEK, MA, CCC-SLP
- Title
- SPEECH PATHOLOGIST, OWNER
- Phone
- (631) 387-1926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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