National Provider Identifier

Ashley Atwater Avery, M.S.CCC-SLP

Ashley Atwater Avery, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Canandaigua, NY and a listed phone number of (585) 394-9510.

NPI 1811238355Canandaigua, NYSpeech-Language Pathologist

Profile Overview

NPI
1811238355
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
March 08, 2013
Last Updated
December 10, 2013

Practice Location

  • 5415 N Bloomfield RD
  • Canandaigua, NY 14424-7964

Phone: (585) 394-9510

Mailing Address

  • 731 Pre Emption RD
  • Geneva, NY 14456-1335

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1811238355
Entity Type
Individual
Last Name
Avery
First Name
Ashley
Middle Name
Atwater
Name Prefix
Mrs.
Credential
M.S.CCC-SLP
Provider Other Last Name
Atwater
Provider Other First Name
Ashley
Provider Other Middle Name
Webster
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
M.S.CCC-SLP
Provider Other Last Name Type Code
1
Mailing Street Address
731 Pre Emption RD
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-1335
Mailing Country
US
Mailing Phone
(315) 789-6828
Mailing Fax
(315) 789-7750
Practice Street Address
5415 N Bloomfield RD
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-7964
Practice Country
US
Practice Phone
(585) 394-9510
Practice Fax
(585) 394-5326
Enumeration Date
March 08, 2013
Last Updated
December 10, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
03574141 (NY)