Provider Demographics
NPI:1225281173
Name:CONOVER-BUCHMAN, AMY PAULINE
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:PAULINE
Last Name:CONOVER-BUCHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661C DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-2002
Mailing Address - Country:US
Mailing Address - Phone:610-824-3500
Mailing Address - Fax:610-824-3501
Practice Address - Street 1:661C DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-2002
Practice Address - Country:US
Practice Address - Phone:610-824-3500
Practice Address - Fax:610-824-3501
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03200237700000X
PAD00829237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist