DARREL P. FORD

BAYPORT, NY
NPI1942582606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  012003)
Enumeration Date2011-09-19
Last Update Date2011-09-19
Business Address
Mr. DARREL P. FORD MS CCC-SLP
391 MIDDLE RD
BAYPORT, NY 11705-1911
Phone number: 631-472-0092
Mailing Address
Mr. DARREL P. FORD MS CCC-SLP
391 MIDDLE RD
BAYPORT, NY 11705-1911
Phone number: 631-472-0092
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