| Organization Name: | SACHEM SPEECH INCORPORATION |
| NPI Number: | 1184974628 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GINA MARIE OLIVA (SPEECH-LANGUAGE PATHOLOGY) |
| Mailing Address: | 367 Smith Rd Lake Ronkonkoma |
| State: | NY US |
| Postal Code: | 117792206 |
| Phone Number: | 6318311028 |
| Fax Number: | 6316483442 |
| NPI Enumeration Date: | 09/12/2012 |
| NPI Last Update Date: | 09/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 725799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |