Individual
AMY ELIZABETH PAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., SLP, TSSLD
Contact information
Practice address
3636 10TH ST, ASTORIA, NY 11106
(718) 383-1785
Mailing address
2069 35TH ST, ASTORIA, NY 11105-2033
(917) 295-8084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023795
NY
Other
Enumeration date
07/19/2013
Last updated
04/01/2019
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