Provider Demographics
NPI:1720339849
Name:SEELIG, BRYNN LALOR
Entity Type:Individual
Prefix:
First Name:BRYNN
Middle Name:LALOR
Last Name:SEELIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRYNN
Other - Middle Name:K
Other - Last Name:LALOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:72 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3107
Mailing Address - Country:US
Mailing Address - Phone:516-972-2279
Mailing Address - Fax:
Practice Address - Street 1:2901 216TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2810
Practice Address - Country:US
Practice Address - Phone:718-281-8884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist