Evelyn C Custodio
Speech-Language Pathologist, in Ridgewood, NY. Individual provider (NPI-1).
NPI number1740678564
StatusActive
Last updated in NPPESDec 31, 2014
Details
- NPI
- 1740678564
- Entity type
- Individual (NPI-1)
- Name
- Evelyn C Custodio
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 31, 2014
- Last updated
- Dec 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1915 Harman St Apt BRidgewood, NY 11385-1930
Phone 347-658-3858
Mailing address
1915 Harman St Apt BRidgewood, NY 11385-1930
Phone 347-658-3858
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All 49 Speech-Language Pathologist providers in Ridgewood · All 847 providers in Ridgewood
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