Provider Demographics
NPI:1124779244
Name:SUNNY DAYS PSYCHOLOGY & SPEECH LANGUAGE PATHOLOGY
Entity type:Organization
Organization Name:SUNNY DAYS PSYCHOLOGY & SPEECH LANGUAGE PATHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:347-956-0596
Mailing Address - Street 1:180 E END AVE STE 16
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7763
Mailing Address - Country:US
Mailing Address - Phone:347-956-0596
Mailing Address - Fax:
Practice Address - Street 1:180 E END AVE STE 16
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7763
Practice Address - Country:US
Practice Address - Phone:347-956-0596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-11
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty