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Elissa Julia Olivera, CCC-SLP

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

NPI number1982304580
StatusActive
Last updated in NPPESMar 3, 2023

Details

NPI
1982304580
Entity type
Individual (NPI-1)
Name
Elissa Julia Olivera
Credential
CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 3, 2023
Certification date
Mar 3, 2023
Last updated
Mar 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,032812NYYes

Practice location

10 Hampton St
Mineola, NY 11501-3403

Phone 631-645-1628

Mailing address

1673 N Gardiner Dr
Bay Shore, NY 11706-1418

Phone 631-645-1628

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