Individual
ASHLEY ELAINE MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8395 OSWEGO RD, BALDWINSVILLE, NY 13027-6801
(315) 450-4898
Mailing address
7721 BLACK WILLOW, LIVERPOOL, NY 13090-3601
(315) 744-2831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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