Individual
CARLY M SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
220 N 10TH ST APT 5D, BROOKLYN, NY 11211-6987
(631) 316-0822
Mailing address
220 N 10TH ST APT 5D, BROOKLYN, NY 11211-6987
(631) 316-0822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028302
NY
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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