Individual
MRS. AMY LYNN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LIC, CCC/SLP
Contact information
Practice address
1657 KENSINGTON AVE, BUFFALO, NY 14215-1412
(716) 831-4175
Mailing address
1657 KENSINGTON AVE, BUFFALO, NY 14215-1412
(716) 831-4175
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006720-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006720-1
NYS LICENSE
NY
Enumeration date
08/15/2008
Last updated
08/15/2008
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