CMG SPEECH LANGUAGE PATHOLOGY PLLC
Speech Language Pathology at Victory Blvd, Staten Island, NY

License number
New York 020071-1
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: MS. CHRISTINA MARIE GOODHEART MA, CCCSLP
Title: OWNER
Phone: (646) 267-9609
Address
Address
2460 Victory Blvd, Staten Island, NY 10314
National Provider ID: 1437436029
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CMG SPEECH LANGUAGE PATHOLOGY PLLC

2460 Victory Blvd, Staten Island, NY 10314

Registration:
Oct 27, 2011
State ID:
4158357
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Agent:
Christine Goodheart,457 Tarrytown Ave, Staten Island, NY 10306 (Physical)

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