Individual
MRS. ANDREA WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
111 GNARLED HOLLOW RD, SETAUKET, NY 11733-1931
(631) 689-2776
Mailing address
111 GNARLED HOLLOW RD, SETAUKET, NY 11733-1931
(631) 689-2776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006798
NY
Other
Enumeration date
01/28/2007
Last updated
11/17/2007
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