Provider Demographics
NPI:1588977185
Name:PRONESTI, GEORGETTE A (MSED, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:GEORGETTE
Middle Name:A
Last Name:PRONESTI
Suffix:
Gender:F
Credentials:MSED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:79 BETH DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-6148
Mailing Address - Country:US
Mailing Address - Phone:845-339-8231
Mailing Address - Fax:845-339-8231
Practice Address - Street 1:79 BETH DR
Practice Address - Street 2:SUITE 2
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-6148
Practice Address - Country:US
Practice Address - Phone:845-339-8231
Practice Address - Fax:845-339-8231
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006841-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist