Individual
MS. CAROL ANN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., C.C.C./SLP
Contact information
Practice address
7740 VLEIGH PL, KEW GARDENS HILLS, NY 11367-3360
(718) 591-9093
Mailing address
7740 VLEIGH PL, KEW GARDENS HILLS, NY 11367-3360
(718) 591-9093
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006110-1
NY
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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