Individual
MRS. ASHLEY GARDNER ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SPED
Contact information
Practice address
14379 RT 9W, RAVENA, NY 12143
(518) 756-3124
Mailing address
378 LOUDON RD, LOUDONVILLE, NY 12211-1730
(518) 463-4801
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03288117
—
NY
Enumeration date
11/14/2013
Last updated
11/14/2013
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