Provider Demographics
NPI:1831256445
Name:PICKUS, FRANCINE S (MS CCC SLP TSHH)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:S
Last Name:PICKUS
Suffix:
Gender:F
Credentials:MS CCC SLP TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BARNUM ST
Mailing Address - Street 2:
Mailing Address - City:NO BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703
Mailing Address - Country:US
Mailing Address - Phone:631-587-9099
Mailing Address - Fax:631-587-9099
Practice Address - Street 1:20 BARNUM ST
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-2807
Practice Address - Country:US
Practice Address - Phone:516-658-0752
Practice Address - Fax:888-972-5017
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3767235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist