Provider Demographics
NPI:1285464131
Name:PLAY WITH PURPOSE SPEECH-LANGUAGE THERAPY, PLLC
Entity type:Organization
Organization Name:PLAY WITH PURPOSE SPEECH-LANGUAGE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISAMARIE
Authorized Official - Middle Name:RICIGLIANO
Authorized Official - Last Name:MESSANO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP, TSSLD
Authorized Official - Phone:516-996-6950
Mailing Address - Street 1:1282 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1604
Mailing Address - Country:US
Mailing Address - Phone:516-804-4837
Mailing Address - Fax:
Practice Address - Street 1:1282 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-1604
Practice Address - Country:US
Practice Address - Phone:516-804-4837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech