KRISTIN BEVILACQUA MA CCC-SLP PLLC NPI 1568602563

NPI Information

KRISTIN BEVILACQUA, MA, CCC-SLP, PLLC is a hearing and speech clinic center in Staten Island, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. KRISTIN BEVILACQUA, MA, CCC-SLP, PLLC NPI is 1568602563. The provider is registered as an organization entity type.

The provider's business location address is:

551 JEFFERSON BLVD
STATEN ISLAND, NY
ZIP 10312-225
Phone: (718) 208-9444
Fax: (718) 967-9513

The provider's authorized official is Kristin Bevilacqua .
The authorized official title is Speech-language Pathologist and has the following contact phone number (718) 208-9444.

The enumeration date for this NPI number is 3/3/2009 and was last updated on 3/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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