Individual
MRS. ANDREA VAN EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP, C.C.C.
Contact information
Practice address
230 VAN BUREN ST, SHIRLEY, NY 11967-2944
(631) 874-1296
Mailing address
3 TALLMADGE TRL, MILLER PLACE, NY 11764-2330
(631) 874-1296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009441-1
NY
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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