Individual
MS. ANN DRISCOLL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 ROBY AVE., OCM BOCES CHILDREN'S VILLAGE @ PARK HILL SCHOOL, EAST SYRACUSE, NY 13057
(315) 434-3830
Mailing address
303 ROBY AVE., OCM BOCES CHILDREN'S VILLAGE @ PARK HILL SCHOOL, EAST SYRACUSE, NY 13057
(315) 434-3830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002390-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002390-1
NYS LICENSE SPEECH PATHOLOGY
NY
01
—
00687632
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION CCC
NY
Enumeration date
06/24/2011
Last updated
06/24/2011
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