Provider Demographics
NPI:1649554114
Name:TURNER, EDITH F
Entity type:Individual
Prefix:MS
First Name:EDITH
Middle Name:F
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 CHIPPENHAM DR
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2909
Mailing Address - Country:US
Mailing Address - Phone:585-482-9614
Mailing Address - Fax:585-654-1079
Practice Address - Street 1:95 CHIPPENHAM DR
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2909
Practice Address - Country:US
Practice Address - Phone:585-482-9614
Practice Address - Fax:585-654-1079
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4645-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist