Individual
MS. ANITA JOY KRISTALL-SCLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SP.
Contact information
Practice address
5010 LAKEVIEW DR, FAYETTEVILLE, NY 13066-9762
(315) 637-8549
Mailing address
5010 LAKEVIEW DR, FAYETTEVILLE, NY 13066-9762
(315) 637-8549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58003438
NY
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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