# GORGE FALLS THERAPY SLP, OT, PLLC

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

## Provider details

- **NPI number:** 1821556358
- **Authorized official:** MRS. DEANA SILVERNAIL M.S., CCC-SLP (OWNER/DIRECTOR)
- **Authorized official phone:** (607) 437-0141

## Contact information

- **Practice address:** 225 S FULTON ST STE D, ITHACA, NY 14850-3344
- **Practice address phone:** (607) 437-0141
- **Mailing address:** 52 BENJAMIN HILL RD, NEWFIELD, NY 14867-9795
- **Mailing address phone:** (607) 437-0141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2019
- **Last updated:** 06/12/2019