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NPI Code Detail

MEDICARE: AMY GAFFNEY M.S.

MEDICARE:   AMY  GAFFNEY  M.S.
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
1235Z00000XSpeech-Language Pathologist146.008932IL

General Provider Information

NPI Number : 1083783104
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY GAFFNEY M.S.
Provider Business Mailing Address
First Line : 1049 E WILSON ST
Second Line : SUITE 100
City : BATAVIA
State : IL
Zip : 60510-2474
Country : US
Telephone Number : 630-761-0900
Fax Number :
Provider Business Practice Location Address
First Line : 1049 E WILSON ST
Second Line : SUITE 100
City : BATAVIA
State : IL
Zip : 60510-2474
Country : US
Telephone Number : 630-761-0900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 11/19/2014

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Directions to “ AMY GAFFNEY M.S.” Practice Location

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