Individual
CHRISTINA ANN CONSOLO-CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
21 RAINBOW DR, HAUPPAUGE, NY 11788-1636
(631) 780-6906
Mailing address
21 RAINBOW DR, HAUPPAUGE, NY 11788-1636
(631) 780-6906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015061-1
NY
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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