Provider Demographics
NPI:1336417138
Name:SOUTHERN WESTCHESTER BOCES
Entity Type:Organization
Organization Name:SOUTHERN WESTCHESTER BOCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TSHH- SPEECH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP-TSHH
Authorized Official - Phone:914-953-8812
Mailing Address - Street 1:31 MERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-4411
Mailing Address - Country:US
Mailing Address - Phone:914-953-8812
Mailing Address - Fax:
Practice Address - Street 1:17 BERKLEY DR
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1422
Practice Address - Country:US
Practice Address - Phone:914-937-3820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016917251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)