Individual
ASHLEY ROSE WALDVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP, TSSLD
Contact information
Practice address
622 HAWKINS AVE, RONKONKOMA, NY 11779-2374
(631) 240-3579
Mailing address
451 LINDEN ST, WEST HEMPSTEAD, NY 11552-2514
(516) 462-2350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2018
Last updated
12/04/2019
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