Anna Nicole Andris, MA

Individual provider Active NPI Speech-Language Pathologist · Oswego, NY

NPI 1689197337 · NPPES record last updated Jul 24, 2017

Key facts

NPI
1689197337
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
159 W 1St St
Oswego, NY 13126-2045
Phone
(315) 342-9575
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

159 W 1St St
Oswego, NY 13126-2045

Mailing address

2903 Fargo Rd
Baldwinsville, NY 13027-8220
Phone (315) 243-4386

Other providers in Oswego, NY

All providers in Oswego, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.