Individual
MS. CARRIE RYANNE FONTENETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP/L
Contact information
Practice address
1882 WINTON RD S STE 8, ROCHESTER, NY 14618-3950
(585) 697-1557
(585) 697-5692
Mailing address
19 MAE MDW, ROCHESTER, NY 14624-4363
(315) 730-6775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018278
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598065096
LIBERTY POST
NY
Enumeration date
11/13/2008
Last updated
07/19/2021
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