NPI Code Details Logo

NPI 1386557585

NPI 1386557585 : HELEN THORN : GENEVA, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386557585
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HELEN THORN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/28/2026
-----------------------------------------------------
    Last Update Date     |    09/28/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    30 WEST ST 
-----------------------------------------------------
    City                 |    GENEVA
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14456-2521
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    315-781-0406
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    221 MASON ST LOWR UNIT 
-----------------------------------------------------
    City                 |    CANANDAIGUA
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14424-1680
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    336-944-1788
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    037158
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.