Individual
AMY WEST LAVIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
115 ACADEMY ST STE 102, CANTON, GA 30114-3008
(404) 444-1521
Mailing address
115 ACADEMY ST STE 102, CANTON, GA 30114-3008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019539
NY
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/31/2011
Last updated
08/09/2024
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