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Stacy Lorraine Richard

Speech-Language Pathologist, in Frankfort, NY. Individual provider (NPI-1).

NPI number1265869531
StatusActive
Last updated in NPPESOct 2, 2013

Details

NPI
1265869531
Entity type
Individual (NPI-1)
Name
Stacy Lorraine Richard
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2013
Last updated
Oct 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,023212-1NYYes

Practice location

325 5th Ave
Frankfort, NY 13340-3622

Phone 315-717-7442 · Fax 315-895-0062

Mailing address

325 5th Ave
Frankfort, NY 13340-3622

Phone 315-717-7442 · Fax 315-895-0062

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