Provider Demographics
NPI:1629596978
Name:GARLAND, LIGEIA
Entity Type:Individual
Prefix:
First Name:LIGEIA
Middle Name:
Last Name:GARLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 COXING RD
Mailing Address - Street 2:
Mailing Address - City:COTTEKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12419-5011
Mailing Address - Country:US
Mailing Address - Phone:845-399-4551
Mailing Address - Fax:
Practice Address - Street 1:12 COXING RD
Practice Address - Street 2:
Practice Address - City:COTTEKILL
Practice Address - State:NY
Practice Address - Zip Code:12419-5011
Practice Address - Country:US
Practice Address - Phone:845-399-4551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027023235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist