Individual
AMY CHAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6033
Mailing address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011440-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011440-1
LICENSE
NY
Enumeration date
01/13/2014
Last updated
01/13/2014
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