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Stephanie Zimmerman, MACCC/SLP

Speech-Language Pathologist, in Commack, NY. Individual provider (NPI-1).

NPI number1801106943
StatusActive
Last updated in NPPESOct 7, 2010

Details

NPI
1801106943
Entity type
Individual (NPI-1)
Name
Mrs. Stephanie Zimmerman
Credential
MACCC/SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2010
Last updated
Oct 7, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,001604-1NYYes

Practice location

133 Washington Blvd
Commack, NY 11725-1732

Phone 631-543-7840

Mailing address

133 Washington Blvd
Commack, NY 11725-1732

Phone 631-543-7840

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