Individual
AMANDA CORNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
267 POWERS ST APT 2R, BROOKLYN, NY 11211-5039
(518) 369-9251
Mailing address
267 POWERS ST APT 2R, BROOKLYN, NY 11211-5039
(518) 369-9251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029931
NY
Other
Enumeration date
06/30/2021
Last updated
07/29/2021
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