Individual
AYANA DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
34 E 29TH ST, FLOOR 2, NEW YORK, NY 10016-7918
(212) 679-4319
Mailing address
34 E 29TH ST, FLOOR 2, NEW YORK, NY 10016-7918
(212) 679-4319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018077
NY
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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