Provider Demographics
NPI:1669783767
Name:KAPNER, AMY B (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:B
Last Name:KAPNER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 W 95TH ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6706
Mailing Address - Country:US
Mailing Address - Phone:917-531-7363
Mailing Address - Fax:
Practice Address - Street 1:14 W 95TH ST
Practice Address - Street 2:APT. 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6706
Practice Address - Country:US
Practice Address - Phone:917-531-7363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019040-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist