Individual
MS. ACREA PAULETTE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
55 E 120TH ST, NEW YORK, NY 10035-3538
(212) 369-3134
Mailing address
601 W 41ST ST, 6H, NEW YORK, NY 10036-1943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14030096
NY
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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