Kavanaugh, Diane Elizabeth
Kavanaugh, Diane Elizabeth is an sole proprietor health care provider with primary practice located at 602 Cindy Ln , Ballston Spa NY 12020-3516. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kavanaugh, Diane Elizabeth can be contacted via phone (518) 885-5455.Contact Information
Primary practice address
602 Cindy Ln
Ballston Spa NY 12020-3516
Phone: (518) 885-5455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 002858-1 | New York |
Profile Details
| NPI number | 1740565274 |
|---|---|
| LBN Legal business name | Kavanaugh, Diane Elizabeth |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2011 |
| Last updated | Oct 16th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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