Individual
MR. ALLEN A AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC SLP
Contact information
Practice address
2545 SHERIDAN DRIVE, TONAWANDA, NY 14150-9478
(716) 833-4884
(716) 833-4881
Mailing address
2545 SHERIDAN DRIVE, TONAWANDA, NY 14150-9478
(716) 833-4884
(716) 833-4881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0013051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011175701
UNIVERA
—
Enumeration date
04/23/2007
Last updated
07/08/2007
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