Jennifer Fallon, MA CCC-SLP
Speech-Language Pathologist, in Coram, NY. Individual provider (NPI-1).
NPI number1750007811
StatusActive
Last updated in NPPESOct 19, 2022
Details
- NPI
- 1750007811
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Fallon
- Credential
- MA CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2022
- Certification date
- Oct 19, 2022
- Last updated
- Oct 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 012807-1 | NY | Yes |
Practice location
61 Mount Sinai Coram RdCoram, NY 11727-3088
Phone 516-909-3838
Mailing address
1 Schooner CvSetauket, NY 11733-3951
Phone 516-909-3838
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All 16 Speech-Language Pathologist providers in Coram · All 676 providers in Coram
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