Provider Demographics
NPI:1265681290
Name:FREIFELD, CHRISTINE ANNE (CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANNE
Last Name:FREIFELD
Suffix:
Gender:F
Credentials:CCCSLP
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:ANNE
Other - Last Name:CARINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCCSLP
Mailing Address - Street 1:36 VICTOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731
Mailing Address - Country:US
Mailing Address - Phone:631-499-0201
Mailing Address - Fax:
Practice Address - Street 1:25 LITTLE PLAINS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:631-266-4420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015029235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist