Individual
MS. ANDREA DENEE MANIGAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1607 ROUTE 300, SUITE 102, NEWBURGH, NY 12550-1738
(845) 564-9853
Mailing address
114 QUAIL CT, YORKTOWN HEIGHTS, NY 10598-1967
(914) 243-7296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007454
NY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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