Individual
MRS. AMY LYNN LOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP/L
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
(315) 437-4698
Mailing address
3504 AMBER RD, SYRACUSE, NY 13215-9540
(315) 673-0174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008328-1
NY
Other
Enumeration date
11/30/2008
Last updated
11/30/2008
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