Individual
MR. CODY WYATT DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2496 W MAIN ST, WHITNEY POINT, NY 13862-1811
(607) 692-3313
Mailing address
5337 STATE ROUTE 26 LOT 19, WHITNEY POINT, NY 13862-1946
(419) 704-9973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031102
NY
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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