Doctor Name: | HEIDI SYLVESTRE |
NPI Number: | 1649548744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP, LSP |
License Number: | 011532 |
Business Practice Address: | 215 Old Riverhead Rd Westhampton Beach, NY - 119781206 |
Business Phone Number: | 6312886400 |
Business Fax Number: | |
Mailing Address: | 44 Mud Rd, SETAUKET |
State: | NY |
Postal Code: | 117332233 |
Phone Number: | 6316893603 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2011 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 011532 |
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 |