Individual
ANN M MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
60 FAIRMOUNT BLVD, GARDEN CITY, NY 11530-5130
(516) 616-0302
(516) 437-0420
Mailing address
60 FAIRMOUNT BLVD, GARDEN CITY, NY 11530-5130
(516) 616-0302
(516) 437-0420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018811-1
NY
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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