Provider Demographics
NPI:1306113535
Name:CRIBBINS, ANN-MARIE (SLP)
Entity type:Individual
Prefix:MRS
First Name:ANN-MARIE
Middle Name:
Last Name:CRIBBINS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ARBOR FIELD WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-1835
Mailing Address - Country:US
Mailing Address - Phone:631-648-9713
Mailing Address - Fax:
Practice Address - Street 1:75 W PERKAL ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-6642
Practice Address - Country:US
Practice Address - Phone:631-968-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007849235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist