Provider Demographics
NPI:1841575784
Name:TOMOSSONE, JOANNE (MA,CCC,SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:TOMOSSONE
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 1:51 RICHARD AVE
Mailing Address - Street 2:
Mailing Address - City:ISLIP TERRACE
Mailing Address - State:NY
Mailing Address - Zip Code:11752-2729
Mailing Address - Country:US
Mailing Address - Phone:631-224-1540
Mailing Address - Fax:
Practice Address - Street 1:51 RICHARD AVE
Practice Address - Street 2:
Practice Address - City:ISLIP TERRACE
Practice Address - State:NY
Practice Address - Zip Code:11752-2729
Practice Address - Country:US
Practice Address - Phone:631-224-1540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013022-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist