Individual
AMY LYNNE LESSLER-BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A/SLP
Contact information
Practice address
30 HARRISON ST STE 355, JOHNSON CITY, NY 13790-2162
(607) 763-6554
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905-1055
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
015986-1
NY
237600000X
Audiologist-Hearing Aid Fitter
Primary
002065-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000029785
NY
Other
Enumeration date
10/29/2008
Last updated
11/17/2022
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