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REGINA PROVISIERO, MA/CCC/SLP
MA/CCC/SLP
Speech-Language Pathologist
NPI: 1457596207Individual
Specialties, Licenses & Credentials
Speech-Language PathologistPrimary
Speech-Language Pathologist
Code: 235Z00000X
58017705(NY)
CMS Specialties
PrimaryQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 220 WINDWARD CT N
PORT JEFFERSON, NY 11777 - Phone
- (631) 525-7514
Quick Facts
- NPI
- 1457596207
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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