MISS REGINA PROVISIERO, MA/CCC/SLP

Speech-Language Pathologist

Active Individual
NPI: 1457596207

Practice Address

220 WINDWARD CT N
Port Jefferson, NY 11777

Phone: (631) 525-7514

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 58017705 (NY)

Frequently Asked Questions

NPI 1457596207 is the National Provider Identifier for MISS REGINA PROVISIERO, MA/CCC/SLP, a Speech-Language Pathologist provider located in Port Jefferson, NY. This NPI was enumerated on December 9, 2008.
MISS REGINA PROVISIERO, MA/CCC/SLP practices at 220 WINDWARD CT N, Port Jefferson, NY 11777.

Quick Facts

NPI
1457596207
Type
Individual
Enumerated
Dec 9, 2008
Last Updated
Dec 9, 2008

Nearby Providers