Individual
CASEY L. QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED CCC-SLP
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-6127
Mailing address
712 WALNUT DR, CLIFTON PARK, NY 12065-7311
(347) 671-9240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314998
—
NY
Enumeration date
12/14/2016
Last updated
12/14/2016
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