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Christina T Traverson, CCC-SLP

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

NPI number1871037101
StatusActive
Last updated in NPPESDec 6, 2016

Details

NPI
1871037101
Entity type
Individual (NPI-1)
Name
Ms. Christina T Traverson
Credential
CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 6, 2016
Last updated
Dec 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,021254NYYes

Practice location

7002 54th Ave
Maspeth, NY 11378-1745

Phone 718-639-3817

Mailing address

7002 54th Ave
Maspeth, NY 11378-1745

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