Individual
MRS. BONNIE SUSAN GREENSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,C.C.C
Contact information
Practice address
274 LAKESHORE DR, PLEASANT VALLEY, NY 12569-5605
(845) 635-9278
Mailing address
274 LAKESHORE DR, PLEASANT VALLEY, NY 12569-5605
(845) 635-9278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006654-1
NY
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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