Organization
CHILDREN'S DEVELOPMENT GROUP FOR SPEECH, OCCUPATIONAL, AND PHYSICAL TH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGI ANN CARTER MA,CCC-SLP,CAS (EXECUTIVE DIRECTOR/PLLC MANAGER)
(518) 578-4912
Entity
Organization
Contact information
Practice address
1717 FRONT ST, KEESEVILLE, NY 12944-3619
(518) 578-4912
(518) 834-7072
Mailing address
1717 FRONT ST, KEESEVILLE, NY 12944-3619
(518) 578-4912
(518) 834-7072
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
008810-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25821
NYSDOH
NY
Enumeration date
08/07/2010
Last updated
10/22/2014
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