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Theresa Lane, MA CCC-SLP

NPI 1326343930 · on the registry since 2011 · sole proprietor

Practice

Address
1812 Gardenia Ave
Merrick, NY 11566
Phone
(516) 503-4017

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York