Individual
ANTOINETTE TILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
150 STAHL RD, GETZVILLE, NY 14068-1231
(716) 629-3400
Mailing address
150 STAHL RD, GETZVILLE, NY 14068-1231
(716) 629-3400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014397-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014397-1
NEW YORK STATE LISCENSE
NY
Enumeration date
05/01/2008
Last updated
05/01/2008
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