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Individual

CAROL ANN SELLERS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA CCC SLP

Contact information

Practice address
52 BIOMEDICAL EDUCATION BLDG, BUFFALO, NY 14214-8016
(716) 829-3980
(716) 829-3974
Mailing address
52 BIOMEDICAL EDUCATION BLDG, BUFFALO, NY 14214-8016
(716) 829-3980
(716) 829-3974

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0049771
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00011240404
UNIVERA
01
000640012003
BC CB ADV SB
01
9210117
INDEPENDENT HEALTH
Enumeration date
01/25/2006
Last updated
07/08/2007
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