Individual
MRS. ANDREA MARIE RETHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
147 RICE AVE, STATEN ISLAND, NY 10314-3029
(718) 420-9391
Mailing address
147 RICE AVE, STATEN ISLAND, NY 10314-3029
(718) 420-9391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015309
NY
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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