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Mrs. Isabella Rae Eccleston Busch
Speech-Language Pathologist in Lake Ronkonkoma, New York
NPI 1194201848

Isabella Rae Eccleston Busch is a Speech-Language Pathologist based in Islip, NY. Isabella Rae Eccleston Busch practices in Lake Ronkonkoma, NY. The NPI Number for Isabella Rae Eccleston Busch is 1194201848 and holds a License No. (New York).

The current practice location address for Isabella Rae Eccleston Busch is 51 School St, Lake Ronkonkoma, NY and can be reached out via phone at 631-471-1300.

Location: 51 School St, Lake Ronkonkoma, NY, 11751-3207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194201848
Provider Name
Isabella Rae Eccleston Busch
Credential
Provider Entity Type
Individual
Gender
Female
Address
51 School St, Lake Ronkonkoma, NY, 11751-3207
Phone Number
631-471-1300
Fax Number
Provider Enumeration Date
07/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
51 School St
City
Lake Ronkonkoma
State
New York
Zip
11779-2298
Phone Number
631-471-1300
Fax Number
person
Provider Business Mailing Address Details
Address
51 School St
City
Lake Ronkonkoma
State
New York
Zip
11779-2298
Phone Number
631-471-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
028942 (New York)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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