Individual
AMY S SOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
99 MAIN ST, DELHI, NY 13753-1221
(607) 832-5200
(607) 832-5202
Mailing address
56225 STATE HIGHWAY 10, BLOOMVILLE, NY 13739-2154
(607) 287-9144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017962-1
NY
235Z00000X
Speech-Language Pathologist
10966
NC
Other
Enumeration date
10/18/2008
Last updated
03/27/2015
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