# EARLY START EVALUATION THERAPY AND EDUCATIONAL SERVICES PLLC

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

## Provider details

- **NPI number:** 1760625792
- **Authorized official:** MRS. KIMBERLY MARIE SLOCUM CCC/SLP (DIRECTOR)
- **Authorized official phone:** (518) 885-5914

## Contact information

- **Practice address:** 106 CONCORD DR, BALLSTON SPA, NY 12020-2304
- **Practice address phone:** (518) 885-5914
- **Mailing address:** 106 CONCORD DR, BALLSTON SPA, NY 12020-2304
- **Mailing address phone:** (518) 885-5914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 005888 | NY | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 04/07/2009