Courtney Rae Bochicchio
Speech-Language Pathologist, in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1730705641
StatusActive
Last updated in NPPESJun 17, 2020
Details
- NPI
- 1730705641
- Entity type
- Individual (NPI-1)
- Name
- Courtney Rae Bochicchio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2020
- Certification date
- Jun 17, 2020
- Last updated
- Jun 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
299 Hallock AvePort Jefferson Station, NY 11776-1217
Phone 631-473-4284
Mailing address
29 Westcliff DrMount Sinai, NY 11766-2222
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All 76 Speech-Language Pathologist providers in Port Jefferson Station · All 1,186 providers in Port Jefferson Station
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