Individual
MRS. AMY LYNN BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3 SPARTAN WAY, ROCHESTER, NY 14624-1448
(585) 247-5050
Mailing address
325 AMY LN, BROCKPORT, NY 14420-9416
(585) 200-0400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009355
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB8207
—
NY
Enumeration date
09/19/2011
Last updated
09/19/2011
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