Individual
BETH-ANN GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
133 AVIATION RD, QUEENSBURY, NY 12804-8206
(518) 798-0170
Mailing address
133 AVIATION RD, QUEENSBURY, NY 12804-8206
(518) 798-0170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00752456
—
NY
Enumeration date
06/05/2007
Last updated
07/08/2007
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