Individual
CARLY RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
15 SKYLINE DR, HAWTHORNE, NY 10532-2152
(413) 455-4560
Mailing address
15 SKYLINE DR, HAWTHORNE, NY 10532-2152
(413) 455-4560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029171
NY
Other
Enumeration date
10/10/2019
Last updated
03/22/2023
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