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
250 LUCIUS GORDON DR STE 3B, WEST HENRIETTA, NY 14586-9662
(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
09/11/2024
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