Individual
MISS AMY J TAVERNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
46 W MAIN ST, FRIENDSHIP, NY 14739-8701
(585) 973-3311
Mailing address
10271 SCHUKNECHT RD, FILLMORE, NY 14735-8733
(585) 610-3397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012045
NY
Other
Enumeration date
09/02/2010
Last updated
09/09/2014
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