Individual
AMY L CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2108 E BOULEVARD, KOKOMO, IN 46902-2401
(765) 416-8480
(765) 588-5480
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004594A
IN
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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