Individual
ANNETTE WAFFNER HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 NEW YORK RD, PLATTSBURGH, NY 12903-3981
(518) 561-3803
Mailing address
22 NEW YORK RD, PLATTSBURGH, NY 12903-3981
(518) 561-3803
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-1090541
TAX ID
NY
Enumeration date
09/13/2021
Last updated
09/13/2021
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