Provider Demographics
NPI:1710119862
Name:CHEVREFILS, AMY FRANCINE (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:FRANCINE
Last Name:CHEVREFILS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WHITNEY RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-1844
Mailing Address - Country:US
Mailing Address - Phone:603-226-3212
Mailing Address - Fax:603-225-0376
Practice Address - Street 1:2 WHITNEY RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-1844
Practice Address - Country:US
Practice Address - Phone:603-226-3212
Practice Address - Fax:603-225-0376
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1254235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist