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Individual

MS. AMY SHAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC/SLP

Contact information

Practice address
84 RUSSELL ST, HAMDEN, CT 06517-2017
(203) 589-5100
Mailing address
84 RUSSELL ST, HAMDEN, CT 06517-2017
(203) 589-5100

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003621
CT

Other

Enumeration date
02/11/2014
Last updated
02/11/2014
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