Provider Demographics
NPI:1578511259
Name:CEA, VERONICA (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:CEA
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-1407
Mailing Address - Country:US
Mailing Address - Phone:631-942-5209
Mailing Address - Fax:
Practice Address - Street 1:887 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2115
Practice Address - Country:US
Practice Address - Phone:631-591-3288
Practice Address - Fax:631-458-1681
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013688-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist