Organization
DEVELOPMENTAL EVALUATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANN MADDEN M.A., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(212) 961-5736
Entity
Organization
Contact information
Practice address
115 W 116TH ST, NEW YORK, NY 10026-2676
(212) 961-5736
Mailing address
115 W 116TH ST, NEW YORK, NY 10026-2676
(212) 961-5736
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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