Provider Demographics
NPI:1609013804
Name:FERBIN, BRYNN M (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BRYNN
Middle Name:M
Last Name:FERBIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ROUND TREE DR
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3315
Mailing Address - Country:US
Mailing Address - Phone:516-521-1318
Mailing Address - Fax:
Practice Address - Street 1:28 ROUND TREE DR
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3315
Practice Address - Country:US
Practice Address - Phone:516-521-1318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-10
Last Update Date:2009-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006615-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist