SHANE MICHAEL ALLEN

SPRINGVILLE, NY
NPI1205145661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  019989-1)
Enumeration Date2010-10-04
Last Update Date2010-10-04
Business Address
Mr. SHANE MICHAEL ALLEN CCC-SLP
393 NORTH ST
SPRINGVILLE, NY 14141-9652
Phone number: 716-592-9331
Mailing Address
Mr. SHANE MICHAEL ALLEN CCC-SLP
393 NORTH ST
SPRINGVILLE, NY 14141-9652
Phone number: 716-592-9331