Provider Demographics
NPI:1003782269
Name:DAILEY, AMBER (SLP-CF TSSLD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:DAILEY
Suffix:
Gender:F
Credentials:SLP-CF TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:764 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2218
Mailing Address - Country:US
Mailing Address - Phone:917-244-6066
Mailing Address - Fax:
Practice Address - Street 1:131 BAY 19TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4607
Practice Address - Country:US
Practice Address - Phone:917-244-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist