Provider Demographics
NPI:1225797194
Name:MAY, AVEREE
Entity Type:Individual
Prefix:
First Name:AVEREE
Middle Name:
Last Name:MAY
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 1:376 QUARRY HILL RD APT 342
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-5799
Mailing Address - Country:US
Mailing Address - Phone:845-674-7541
Mailing Address - Fax:
Practice Address - Street 1:376 QUARRY HILL RD APT 342
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-5799
Practice Address - Country:US
Practice Address - Phone:845-674-7541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist