Doctor Name: | CORINNE ROSE REGISTRATO |
NPI Number: | 1548510928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP, TSSLD |
License Number: | 023389 |
Business Practice Address: | 5225 Nesconset Hwy 30 Port Jefferson Station, NY - 117762053 |
Business Phone Number: | 6314734284 |
Business Fax Number: | |
Mailing Address: | 23 James St, HUNTINGTON STATION |
State: | NY |
Postal Code: | 117463417 |
Phone Number: | 6317087627 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 12/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 023389 |
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 |