MS. Diane Elizabeth Kavanaugh, CCC-SLP
NPI #1740565274 in Ballston Spa, New York
Provider Information
- NPI Number
- 1740565274
- Entity Type
- Individual
- Name
- MS. Diane Elizabeth Kavanaugh, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Oct 16, 2011
- Last Updated
- Oct 16, 2011
Practice Location
- Address
- 602 CINDY LN
- City
- Ballston Spa
- State
- New York
- ZIP Code
- 12020-3516
- Phone
- (518) 885-5455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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