Individual
ALLISON HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
Mailing address
31 JUDITH ST, NANUET, NY 10954-2456
(845) 608-3903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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