Provider Demographics
NPI:1477910727
Name:CLARITY SPEECH AND LANGUAGE THERAPY PC
Entity type:Organization
Organization Name:CLARITY SPEECH AND LANGUAGE THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/SPEECH LANGUAGE PATHOLOGIS
Authorized Official - Prefix:MRS
Authorized Official - First Name:YULIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:347-585-1788
Mailing Address - Street 1:6 ETON PL
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1206
Mailing Address - Country:US
Mailing Address - Phone:347-585-1788
Mailing Address - Fax:
Practice Address - Street 1:6 ETON PL
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1206
Practice Address - Country:US
Practice Address - Phone:347-585-1788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018021235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty