Individual provider · Type 1 NPI

Tina Perre Wilde, CCC.SLP

Speech-Language Pathologist · Bayport, NY

NPI number 1700923711 Active

Practice location

404 1st Ave
Bayport, NY 11705-1305

Call (631) 472-6679 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X006180-1 (NY)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1700923711

Tina Perre Wilde, CCC.SLP's National Provider Identifier is 1700923711, issued on Jan 31, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Bayport, NY. The record was last updated on Jul 8, 2007.