Mariama Diallo
Speech-Language Pathologist, in Mastic, NY. Individual provider (NPI-1).
NPI number1235826751
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1235826751
- Entity type
- Individual (NPI-1)
- Name
- Mariama Diallo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2023
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
41 Wood AveMastic, NY 11950-3515
Phone 917-583-7055
Mailing address
41 Wood AveMastic, NY 11950-3515
Phone 917-583-7055
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