Allison Mary Ickstadt

NPI #1871102608 in Wantagh, New York

Provider Information

NPI Number
1871102608
Entity Type
Individual
Name
Allison Mary Ickstadt
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 28, 2020
Last Updated
Jul 28, 2020

Practice Location

Address
1174 FORTUNE CT
ZIP Code
11793-2759
Phone
(516) 221-1431

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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