Organization
ADIRONDACK ENRICHMENT, A SPEECH PATHOLOGY OCCUPATIONAL THERAPY AND PHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI UNDERWOOD MS,CCC-SLP (OWNER/DIRECTOR)
(518) 761-2025
Entity
Organization
Contact information
Practice address
413 BAY RD, QUEENSBURY, NY 12804-1408
(518) 761-2025
(518) 761-2035
Mailing address
413 BAY RD, QUEENSBURY, NY 12804-1408
(518) 761-2025
(518) 761-2035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0044171
NY
235Z00000X
Speech-Language Pathologist
Primary
011402
NY
235Z00000X
Speech-Language Pathologist
0163461
NY
235Z00000X
Speech-Language Pathologist
019159-1
NY
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11580239
CAQH
NY
01
—
1174787030
NPI
NY
01
—
11864560
CAQH
NY
01
—
11864562
CAQH
NY
01
—
1780848655
NPI
NY
01
—
1811127590
NPI
NY
01
—
1972767853
NPI
NY
Enumeration date
07/10/2008
Last updated
04/19/2021
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