Provider Demographics
NPI:1821232539
Name:CLARE-CHRISTOPHER, DEEDEE HOPE (MSED)
Entity Type:Individual
Prefix:MRS
First Name:DEEDEE
Middle Name:HOPE
Last Name:CLARE-CHRISTOPHER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 NASSAU RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-7509
Mailing Address - Country:US
Mailing Address - Phone:516-797-2656
Mailing Address - Fax:
Practice Address - Street 1:110 NASSAU RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-7509
Practice Address - Country:US
Practice Address - Phone:516-797-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist