Provider Demographics
NPI:1306273933
Name:ABREU, LUCIA G (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LUCIA
Middle Name:G
Last Name:ABREU
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-2514
Mailing Address - Country:US
Mailing Address - Phone:631-471-1880
Mailing Address - Fax:
Practice Address - Street 1:251 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-2514
Practice Address - Country:US
Practice Address - Phone:631-471-1880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009192-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist