National Provider Identifier
Amy J Tavernier, CCC-SLP
Amy J Tavernier, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Friendship, NY and a listed phone number of (585) 973-3311.
Profile Overview
- NPI
- 1699082305
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 02, 2010
- Last Updated
- September 09, 2014
Practice Location
- 46 W Main St
- Friendship, NY 14739-8701
Phone: (585) 973-3311
Mailing Address
- 10271 Schuknecht RD
- Fillmore, NY 14735-8733
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1699082305
- Entity Type
- Individual
- Last Name
- Tavernier
- First Name
- Amy
- Middle Name
- J
- Name Prefix
- Miss
- Credential
- CCC-SLP
- Provider Other Last Name
- Tavernier
- Provider Other First Name
- Amy
- Provider Other Middle Name
- J
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 10271 Schuknecht RD
- Mailing City
- Fillmore
- Mailing State
- NY
- Mailing ZIP Code
- 14735-8733
- Mailing Country
- US
- Mailing Phone
- (585) 610-3397
- Practice Street Address
- 46 W Main St
- Practice City
- Friendship
- Practice State
- NY
- Practice ZIP Code
- 14739-8701
- Practice Country
- US
- Practice Phone
- (585) 973-3311
- Enumeration Date
- September 02, 2010
- Last Updated
- September 09, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)