Individual
MS. CHRIS TERESA FAIRWEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 COLLEGE AVE, POUGHKEEPSIE, NY 12603-3313
(845) 451-4900
Mailing address
5 KAEGILL LN, NEW PALTZ, NY 12561-2923
(914) 204-7094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012221
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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