Provider Demographics
NPI:1720232762
Name:FINCH, ANN E (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:E
Last Name:FINCH
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:MRS
Other - First Name:ANN
Other - Middle Name:E
Other - Last Name:MEYER-FINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC/SLP
Mailing Address - Street 1:69 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110
Mailing Address - Country:US
Mailing Address - Phone:518-857-0144
Mailing Address - Fax:518-786-8172
Practice Address - Street 1:69 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110
Practice Address - Country:US
Practice Address - Phone:518-857-0144
Practice Address - Fax:518-786-8172
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist