South Shore Speech Pathology
NPI #1952000887 in Patchogue, New York
Provider Information
- NPI Number
- 1952000887
- Entity Type
- Organization
- Organization Name
- South Shore Speech Pathology
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 28, 2023
- Last Updated
- Feb 28, 2023
Practice Location
Authorized Official
- Name
- REGINA PROVISIERO, MA/CCC/SLP
- Title
- SPEECH PATHOLOGIST
- Phone
- (631) 525-7514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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