Individual
TWILA SUSAN HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 PROCTOR RD, GLEN SPEY, NY 12737-5574
(845) 456-1100
Mailing address
487 PETERS RD, CALLICOON, NY 12723-7517
(845) 798-6053
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
NY
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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