Individual
ANN WALDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
218 BURBANK AVE, JOHNSON CITY, NY 13790-3003
(607) 765-3979
Mailing address
218 BURBANK AVE, JOHNSON CITY, NY 13790-3003
(607) 765-3979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
008538-1
NY
235Z00000X
Speech-Language Pathologist
Primary
SL005475L
PA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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