Tracey Ann Waters CCC-SLP

NPI 1083867659 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1083867659
Gender Female
Enumeration Date 10/28/2008
Last Updated 10/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
15 WIGGAND DR
GLENMONT NY, 12077-4430, US
Phone (518) 858-9092
Fax
Business Location
15 WIGGAND DR
GLENMONT NY, 12077-4430, US
Phone (518) 858-9092
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 012496-1
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According to our database, Mrs. Tracey Ann Waters CCC-SLP NPI is 1083867659, taxonomy code is 235Z00000X and license number is 012496-1, license state is located at New York. Tracey Ann Waters CCC-SLP physically located at 15 Wiggand Dr, Glenmont NY, 12077-4430. NPI Number Tracey Ann Waters CCC-SLP has the Individual type.

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1083867659 NPI number is provided on an as is basis without warranty of any kind. 1083867659 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Ann Waters CCC-SLP are for informational purposes only.