Teresa Rosa Diblasi, MA

Individual provider Active NPI Speech-Language Pathologist · Williston Park, NY

NPI 1962273169 · NPPES record last updated Jan 16, 2024

Key facts

NPI
1962273169
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
129A Hillside Ave
Williston Park, NY 11596-2305
Phone
(516) 742-5243
NPI assigned
Jan 16, 2024
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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
S.E.E.D.S. of the Willistons Inc. Speech-Language Pathologist Past
since Jan 21, 2024
Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

129A Hillside Ave
Williston Park, NY 11596-2305

Mailing address

129A Hillside Ave
Williston Park, NY 11596-2305
Phone (516) 742-5243

Other providers in Williston Park, NY

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

Sources for this page

Verify at the official NPI Registry.