Individual
MRS. AMY M MICHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
210 3RD ST, LIVERPOOL, NY 13088-4947
(315) 457-9307
(315) 457-9307
Mailing address
210 3RD ST, LIVERPOOL, NY 13088-4947
(315) 457-9307
(315) 457-9307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012148
NY
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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