Provider Demographics
NPI:1912316050
Name:MCPARTLAND, DEIDRE MARIE (MA,SLP)
Entity type:Individual
Prefix:MRS
First Name:DEIDRE
Middle Name:MARIE
Last Name:MCPARTLAND
Suffix:
Gender:F
Credentials:MA,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 N HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-3103
Mailing Address - Country:US
Mailing Address - Phone:516-795-0595
Mailing Address - Fax:
Practice Address - Street 1:238 N HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-3103
Practice Address - Country:US
Practice Address - Phone:516-795-0595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021428-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist