Individual
AMORELLE TYRA PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP, TSSLD
Contact information
Practice address
176 WILLIAM ST, HEMPSTEAD, NY 11550-5848
(516) 434-4400
Mailing address
2766 SCHLEIGEL BLVD, AMITYVILLE, NY 11701-1343
(631) 671-0102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
09/16/2024
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