Amy Elizabeth Hansen, MA-SLP-CCC
Individual provider Active NPI Speech-Language Pathologist · Sanborn, NY
NPI 1619252210 · NPPES record last updated Oct 14, 2011
Key facts
- NPI
- 1619252210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0007210 (NY)
- Practice address
- 4124 Saunders Settlement Rd
Sanborn, NY 14132-9523 - Phone
- (180) 083-6751
- NPI assigned
- Oct 14, 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 |
|---|---|---|---|
| 0007210 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0007210 | NY | Yes |
Addresses
Primary practice location
4124 Saunders Settlement Rd
Sanborn, NY 14132-9523
Mailing address
47 Grasmere Rd
Lockport, NY 14094-3409
Phone (716) 433-0877
Other providers in Sanborn, NY
- Jennifer C Fratello
- Anna Frey
- Scott Gregory
- Keith Gorman Gruchy
- Taylor Ann Gutierrez
- Leanna Alexis Harkola
- Ashton Elizabeth Rose Hasenstab
- Mary Eileen Heim
- Megan Leigh Helf
- Deborah Ann Hock
All providers in Sanborn, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 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.