Massimi, Theresa Shanley
Massimi, Theresa Shanley is an sole proprietor health care provider with primary practice located at 275 Fair St , Kingston NY 12401-3800. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Massimi, Theresa Shanley can be contacted via phone (845) 399-0192.Contact Information
Primary practice address
275 Fair St
Kingston NY 12401-3800
Phone: (845) 399-0192
Fax: (845) 331-1774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 00260001 | New York |
Profile Details
| NPI number | 1023320660 |
|---|---|
| LBN Legal business name | Massimi, Theresa Shanley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2010 |
| Last updated | Jul 12th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023320660 | NPPES |
| New York | Other | 00260001 | LICENSE |
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