Sue A Amell, LMT
Individual provider Active NPI Contractor · Saranac Lake, NY
NPI 1487922597 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1487922597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 014155-1 (NY)
- Practice address
- 75 Lakeview Ter
Saranac Lake, NY 12983-2419 - Phone
- (518) 524-8787
- Fax
- (518) 354-8047
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014155-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 014155-1 | NY | Yes |
Addresses
Primary practice location
75 Lakeview Ter
Saranac Lake, NY 12983-2419
Mailing address
75 Lakeview Ter
Saranac Lake, NY 12983-2419
Phone (518) 524-8787
Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.