Individual
MS. AMANDA J KAVALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
468 ROUTE 17A, FLORIDA, NY 10921-1014
(845) 651-2251
Mailing address
100 SYCAMORE DR, MIDDLETOWN, NY 10940-5459
(914) 204-9407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019866-1
NY
Other
Enumeration date
01/06/2011
Last updated
01/14/2011
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