Organization
GORGE FALLS THERAPY SLP, OT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANA SILVERNAIL M.S., CCC-SLP (OWNER/DIRECTOR)
(607) 437-0141
Entity
Organization
Contact information
Practice address
225 S FULTON ST STE D, ITHACA, NY 14850-3344
(607) 437-0141
Mailing address
52 BENJAMIN HILL RD, NEWFIELD, NY 14867-9795
(607) 437-0141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
06/12/2019
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