Wilde, Tina Perre

Wilde, Tina Perre is an sole proprietor health care provider with primary practice located at 404 1St Ave , Bayport NY 11705-1305. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wilde, Tina Perre can be contacted via phone (631) 472-6679.

Contact Information

Primary practice address
404 1St Ave Bayport NY 11705-1305
Phone: (631) 472-6679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 006180-1 New York

Profile Details

NPI number 1700923711
LBN Legal business name Wilde, Tina Perre
Credentials CCC.SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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