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Individual

ANDREA O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
96 WYNDALE RD, ROCHESTER, NY 14617-3632
(585) 315-2125
Mailing address
980 WESTFALL RD STE 125, ROCHESTER, NY 14618-2612
(585) 315-2125

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017845-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30-0213081
TAX ID
NY
Enumeration date
10/14/2008
Last updated
07/05/2026
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