Healthcare Provider Details

I. General information

NPI: 1730277385
Provider Name (Legal Business Name): PARTNERS IN SPEECH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 CROSS KEYS OFFICE PARK
FAIRPORT NY
14450
US

IV. Provider business mailing address

370 CROSS KEYS OFFICE PARK
FAIRPORT NY
14450
US

V. Phone/Fax

Practice location:
  • Phone: 585-425-7710
  • Fax: 585-425-1859
Mailing address:
  • Phone: 585-425-7710
  • Fax: 585-425-1859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number4948
License Number StateNY

VIII. Authorized Official

Name: JULIE CODDINGTON
Title or Position: OFFICE MANAGER
Credential:
Phone: 585-425-7710