Individual provider · Type 1 NPI
Roseann Connelly, MA TSHH
Specialist · Long Beach, NY
NPI number
1023372091
Active
Practice location
666 Shore Rd Apt 4J
Long Beach, NY 11561-4616
Fax (516) 992-0878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist | 222Q00000X | None listed |
| Speech-Language Assistant | 2355S0801X | 1701205 (NY) |
| Speech-Language Assistant | 2355S0801X | None listed |
| Specialist Primary | 174400000X | 657266 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1023372091
Roseann Connelly, MA TSHH's National Provider Identifier is 1023372091, issued on Jun 25, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Long Beach, NY. The record was last updated on Nov 4, 2020.