Provider Demographics
NPI:1891931663
Name:BELLOFF, TERRI (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:BELLOFF
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:
Other - Last Name:BELLOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CCC/SLP
Mailing Address - Street 1:932 LITTLE WHALENECK RD
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4733
Mailing Address - Country:US
Mailing Address - Phone:516-565-5344
Mailing Address - Fax:
Practice Address - Street 1:932 LITTLE WHALENECK RD
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-4733
Practice Address - Country:US
Practice Address - Phone:516-565-5344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004803-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist