Farrand Elizabeth Seltenreich, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · East Quogue, NY
NPI 1972169928 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1972169928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 029810 (NY)
- Practice address
- 5 Central Ave
East Quogue, NY 11942-4114 - Phone
- (631) 885-2489
- NPI assigned
- May 15, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029810 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 029810 | NY | Yes |
Addresses
Primary practice location
5 Central Ave
East Quogue, NY 11942-4114
Mailing address
5 Central Ave
East Quogue, NY 11942-4114
Phone (631) 885-2489
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All providers in East Quogue, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.