Organization
VIVIAN LIFF SPEECH THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN KELLERMAN SPEECH LANGUAGE PATH (SPEECH LANGUAGE PATHOLOGIST)
(845) 583-4283
Entity
Organization
Contact information
Practice address
90 HORSEHOE LAKE ROAD, KAUNEGONA LAKE, NY 12749
(845) 583-4283
(845) 583-5476
Mailing address
PO BOX 600, KAUNEONGA LAKE, NY 12749-0600
(845) 583-4283
(845) 583-5476
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0087791
NY
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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