Individual
MISS AUDREY J KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP, NYS LICENSE
Contact information
Practice address
50 E NORTH ST, BUFFALO, NY 14203-1002
(716) 885-8318
Mailing address
853 TIFFT ST, BUFFALO, NY 14220-1816
(716) 825-8392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004022
SPEECH-LANGUAGE AND AUDIOLOGY LICENSING BOARD
NY
Enumeration date
09/07/2010
Last updated
09/07/2010
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