Most Relevant Information
Provider Data
| NPI Number: | 1003194333 |
| Provider Name: | EVERIEN REBECCA MALONE SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 020232-1 |
Most Important Dates
| Enumeration Date: | 08/03/2011 |
| Last Updated: | 08/03/2011 |
Provider Practice Location
41 OCONNOR RD
FAIRPORT
NY
144501327
Practice Location Phone/Fax
| Phone: | 5853774660 |
| Fax: |
Provider Mailing Location
41 OCONNOR RD
FAIRPORT
NY
144501327
Provider Mailing Phone/Fax
| Phone: | 5853774660 |
| Fax: |