Provider Demographics
NPI:1083858278
Name:BEGLAN, DEIRDRE SR (MS, CCC-SLP, COM)
Entity Type:Individual
Prefix:MS
First Name:DEIRDRE
Middle Name:
Last Name:BEGLAN
Suffix:SR
Gender:F
Credentials:MS, CCC-SLP, COM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 WHITE PLAINS ROAD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709
Mailing Address - Country:US
Mailing Address - Phone:347-579-7855
Mailing Address - Fax:
Practice Address - Street 1:475 WHITE PLAINS ROAD
Practice Address - Street 2:SUITE 21
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709
Practice Address - Country:US
Practice Address - Phone:347-579-7855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016043-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist