Individual
MRS. AMY ELIZABETH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-SLP-CCC
Contact information
Practice address
4124 SAUNDERS SETTLEMENT RD, SANBORN, NY 14132-9523
(180) 083-6751
Mailing address
47 GRASMERE RD, LOCKPORT, NY 14094-3409
(716) 433-0877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0007210
NY
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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