Provider Demographics
NPI:1023387198
Name:SABELLA, MAUREEN MARGARET (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:MARGARET
Last Name:SABELLA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1417
Mailing Address - Country:US
Mailing Address - Phone:516-515-9507
Mailing Address - Fax:
Practice Address - Street 1:36 HIGH ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1417
Practice Address - Country:US
Practice Address - Phone:516-515-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013053235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist