Provider Demographics
NPI:1295980928
Name:DEUCSCH LESTER, HILARY (MA CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:
Last Name:DEUCSCH LESTER
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 1:72 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:OLD BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11804-1528
Mailing Address - Country:US
Mailing Address - Phone:516-293-4771
Mailing Address - Fax:
Practice Address - Street 1:72 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:OLD BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11804-1528
Practice Address - Country:US
Practice Address - Phone:516-293-4771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist