Individual
CLAIRE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
70 MALTA AVE, BALLSTON SPA, NY 12020-1599
(518) 775-8279
Mailing address
181 ASHDOWN RD, BALLSTON LAKE, NY 12019-2338
(518) 775-8279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024891
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/12/2014
Last updated
01/13/2021
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