Provider Demographics
NPI:1811481500
Name:CLODE, SEAN
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:CLODE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 CALIFORNIA RD APT 1L
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-1012
Mailing Address - Country:US
Mailing Address - Phone:603-892-9295
Mailing Address - Fax:
Practice Address - Street 1:340 HUDSON ST
Practice Address - Street 2:
Practice Address - City:CORNWALL ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12520-1332
Practice Address - Country:US
Practice Address - Phone:845-275-0454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist