Individual
MRS. CAROLINE ADA TIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1000 ELMWOOD AVE, ROCHESTER, NY 14620-3042
(585) 271-0671
Mailing address
41 WHIPPLETREE RD, FAIRPORT, NY 14450-1148
(585) 678-4117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014483-1
NY
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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