Jaime Dettleff M.S. CCC SLP

NPI 1306988506 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1306988506
Gender Female
Enumeration Date 02/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
50 VIOLET RD
ROCKY POINT NY, 11778-8711, US
Phone (631) 849-2509
Fax (631) 849-2509
Business Location
50 VIOLET RD
ROCKY POINT NY, 11778-8711, US
Phone (631) 849-2509
Fax (631) 849-2509
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 013287-1
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According to our database, Mrs. Jaime Dettleff M.S. CCC SLP NPI is 1306988506, taxonomy code is 235Z00000X and license number is 013287-1, license state is located at New York. Jaime Dettleff M.S. CCC SLP physically located at 50 Violet Rd, Rocky Point NY, 11778-8711. NPI Number Jaime Dettleff M.S. CCC SLP has the Individual type.

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1306988506 NPI number is provided on an as is basis without warranty of any kind. 1306988506 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime Dettleff M.S. CCC SLP are for informational purposes only.