Individual
CHANDLER A MUDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP TSSLD
Contact information
Practice address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 291-0100
Mailing address
3556 TULIP DR, YORKTOWN HEIGHTS, NY 10598-2124
(914) 815-6194
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
033178
NY
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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