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Individual

MS. LISA ALVAREZ KIERAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC - SLP

Contact information

Practice address
115 SPLIT OAK DR, EAST NORWICH, NY 11732-1146
(516) 521-2726
Mailing address
115 SPLIT OAK DR, EAST NORWICH, NY 11732-1146
(516) 521-2726

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
007527 - 1
NY
252Y00000X
Early Intervention Provider Agency
Primary
007527 - 1
NY

Other

Enumeration date
04/19/2009
Last updated
04/19/2009
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