Individual
MRS. BERNADETTE MARY MCCRUDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP-CCC
Contact information
Practice address
158 NEVIS RD, TIVOLI, NY 12583-5009
(845) 756-2244
Mailing address
158 NEVIS RD, TIVOLI, NY 12583-5009
(845) 756-2244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012895-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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