Most Relevant Information
Provider Data
| NPI Number: | 1003124595 |
| Provider Name: | CATHY JEAN EKSTROM |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 003668-1 |
Most Important Dates
| Enumeration Date: | 09/17/2010 |
| Last Updated: | 09/17/2010 |
Provider Practice Location
352 MARTHA AVE
BELLPORT
NY
11713
Practice Location Phone/Fax
| Phone: | 6312766703 |
| Fax: |
Provider Mailing Location
11 VIOLET RD
ROCKY POINT
NY
117788736
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |