Individual
CHRISTINA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
411 PEARL ST, NEW YORK, NY 10038-1432
(121) 964-9610
Mailing address
411 PEARL ST, NEW YORK, NY 10038-1432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021801-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02180-1
NEW YORK STATE LICENSE
NY
Enumeration date
01/17/2017
Last updated
01/17/2017
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