Individual
ALLISON KISTHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
760 RIVERSIDE DRIVE, APT 5F, NEW YORK, NY 10031
(917) 656-0640
Mailing address
760 RIVERSIDE DR, APT 5F, NEW YORK, NY 10031-1030
(917) 656-0640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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