Linda Bravstein, MA, CCC-SLP

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

NPI 1265743249 · NPPES record last updated Jun 24, 2010

Key facts

NPI
1265743249
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
002434-1 (NY)
Practice address
59 Cresthollow LN
Albertson, NY 11507-1046
Phone
(516) 625-1725
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
002434-1NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 002434-1 NY Yes

Addresses

Primary practice location

59 Cresthollow LN
Albertson, NY 11507-1046

Mailing address

59 Cresthollow LN
Albertson, NY 11507-1046
Phone (516) 625-1725

Other providers in Albertson, NY

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

Sources for this page

Verify at the official NPI Registry.