Patricia Peguero-Vidal, MS, CCC-SLP, TSSLD-B
Speech-Language Pathologist, in Flushing, NY. Individual provider (NPI-1).
NPI number1164071643
StatusActive
Last updated in NPPESSep 8, 2019
Details
- NPI
- 1164071643
- Entity type
- Individual (NPI-1)
- Name
- Patricia Peguero-Vidal
- Credential
- MS, CCC-SLP, TSSLD-B
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2019
- Last updated
- Sep 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 029115 | NY | Yes |
Practice location
14439 Gravett RdFlushing, NY 11367-1304
Phone 718-793-2130
Mailing address
13832 68th Dr Apt 3bFlushing, NY 11367-1663
Phone 718-793-5476
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All 336 Speech-Language Pathologist providers in Flushing · All 8,924 providers in Flushing
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