Provisiero, Regina Ann
Provisiero, Regina Ann is an individual health care provider with primary practice located at 220 Windward Ct N , Port Jefferson NY 11777-2323. 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. Provisiero, Regina Ann can be contacted via phone (631) 525-7514.Contact Information
Primary practice address
220 Windward Ct N
Port Jefferson NY 11777-2323
Phone: (631) 525-7514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 58017705 | New York |
Profile Details
| NPI number | 1457596207 |
|---|---|
| LBN Legal business name | Provisiero, Regina Ann |
| Credentials | MA/CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2008 |
| Last updated | Dec 9th, 2008 - about 16 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.
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