Joyce Seery

Individual provider Active NPI Speech-Language Pathologist · Tappan, NY

NPI 1104136167 · NPPES record last updated Oct 8, 2010

Key facts

NPI
1104136167
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
442897 (NY)
Practice address
140 Lester Dr
Tappan, NY 10983-1217
Phone
(845) 680-1381
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
442897NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Early Childhood Program Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 442897 NY Yes

Addresses

Primary practice location

140 Lester Dr
Tappan, NY 10983-1217

Mailing address

26 Pascack Rd
Pearl River, NY 10965-1008
Phone (845) 735-3268

Other providers in Tappan, NY

All providers in Tappan, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.