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Lisa Tracey

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

NPI number1982152047
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982152047
Entity type
Individual (NPI-1)
Name
Lisa Tracey
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 19, 2016
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,–NYYes

Practice location

15 Garden St
Centereach, NY 11720-3818

Phone 631-739-7005

Mailing address

15 Garden St
Centereach, NY 11720-3818

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Other Speech-Language Pathologist providers in Centereach, NY

All 22 Speech-Language Pathologist providers in Centereach · All 445 providers in Centereach

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