Provider Demographics
NPI:1154181196
Name:RICHARDS, ANGELA M (MS, SLP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-5985
Mailing Address - Country:US
Mailing Address - Phone:845-857-6293
Mailing Address - Fax:
Practice Address - Street 1:174 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-5985
Practice Address - Country:US
Practice Address - Phone:845-857-6293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist