Organization
EARLY START EVALUATION THERAPY AND EDUCATIONAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MARIE SLOCUM CCC/SLP (DIRECTOR)
(518) 885-5914
Entity
Organization
Contact information
Practice address
106 CONCORD DR, BALLSTON SPA, NY 12020-2304
(518) 885-5914
Mailing address
106 CONCORD DR, BALLSTON SPA, NY 12020-2304
(518) 885-5914
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
005888
NY
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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