MEDICARE: AMY TERRANOVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1114328572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY TERRANOVA

Provider Business Mailing Address
First Line	:	4621 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-5807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4621 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-5807
Country	:	US
Telephone Number	:	225-252-1005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2014
Last Update Date	:	06/10/2024

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Directions to “ AMY TERRANOVA ” Practice Location

Language	Start Address	Practice Location

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