Individual
MRS. ASHLEY ATWATER AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5415 N BLOOMFIELD RD, CANANDAIGUA, NY 14424-7964
(585) 394-9510
(585) 394-5326
Mailing address
731 PRE EMPTION RD, GENEVA, NY 14456-1335
(315) 789-6828
(315) 789-7750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022478-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03574141
—
NY
Enumeration date
03/08/2013
Last updated
12/10/2013
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