Individual
MS. ALICIA JOAN CRIMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.M CCC-SLP
Contact information
Practice address
110 STEPHENS HANDS PATH, CDCD, WAINSCOTT, NY 11975
(631) 324-0207
Mailing address
30 17TH ST, EAST HAMPTON, NY 11937-4130
(631) 324-2571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019813-1
NY
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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