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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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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