Provider Demographics
NPI:1740446251
Name:GINTER, AMY LYNN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:GINTER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:PUGLIESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27 NORTHILL ST
Mailing Address - Street 2:APT 3E
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-2037
Mailing Address - Country:US
Mailing Address - Phone:508-523-6635
Mailing Address - Fax:
Practice Address - Street 1:25 OAKVIEW DR
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4723
Practice Address - Country:US
Practice Address - Phone:203-365-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003985235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist