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Alexis Michelle Weinberg, MA, SLP

Speech-Language Pathologist, in Port Jeff Sta, NY. Individual provider (NPI-1).

NPI number1982129573
StatusActive
Last updated in NPPESJul 17, 2018

Details

NPI
1982129573
Entity type
Individual (NPI-1)
Name
Alexis Michelle Weinberg
Credential
MA, SLP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 4, 2017
Last updated
Jul 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,027810NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

299 Hallock Ave
Port Jeff Sta, NY 11776

Phone 631-473-4284

Mailing address

6 Bushwick St
Melville, NY 11747-1202

Phone 631-805-4367

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