Provider Demographics
NPI:1720233919
Name:HYNES, JEANNE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:
Last Name:HYNES
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 S OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5033
Mailing Address - Country:US
Mailing Address - Phone:516-496-2017
Mailing Address - Fax:516-496-2017
Practice Address - Street 1:38 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5033
Practice Address - Country:US
Practice Address - Phone:516-496-2017
Practice Address - Fax:516-496-2017
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007670-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist