Individual
CARLA D VILLANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1452 PARK ST, ATLANTIC BEACH, NY 11509-1626
(516) 318-0860
Mailing address
1452 PARK ST, ATLANTIC BEACH, NY 11509-1626
(516) 318-0860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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