MICHELE LYNN VIDAL

BRONX, NY
NPI1396288791
Professional NameMICHELE LYNN CALI VIDAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  012170-1)
Enumeration Date2016-12-02
Last Update Date2016-12-02
Business Address
-- MICHELE LYNN VIDAL
1919 PROSPECT AVE
BRONX, NY 10457-6506
Phone number: 718-901-0436
Mailing Address
-- MICHELE LYNN VIDAL
1919 PROSPECT AVE
BRONX, NY 10457-6506
Phone number: 718-901-0436