# CHILDREN'S DEVELOPMENT GROUP FOR SPEECH, OCCUPATIONAL, AND PHYSICAL TH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639484298
- **Authorized official:** MRS. MARGI ANN CARTER MA,CCC-SLP,CAS (EXECUTIVE DIRECTOR/PLLC MANAGER)
- **Authorized official phone:** (518) 578-4912

## Contact information

- **Practice address:** 1717 FRONT ST, KEESEVILLE, NY 12944-3619
- **Practice address phone:** (518) 578-4912
- **Practice address fax:** (518) 834-7072
- **Mailing address:** 1717 FRONT ST, KEESEVILLE, NY 12944-3619
- **Mailing address phone:** (518) 578-4912
- **Mailing address fax:** (518) 834-7072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 008810-1 | NY | Yes |

## Other

- **Enumeration date:** 08/07/2010
- **Last updated:** 10/22/2014