| Doctor Name: | AMY LYNNE LESSLER-BOLAND |
| NPI Number: | 1851544266 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-A/SLP |
| License Number: | 015986-1 |
| Business Practice Address: | 33-57 Harrison St Uhs Audiology Department Johnson City, NY - 137902107 |
| Business Phone Number: | 6077636554 |
| Business Fax Number: | |
| Mailing Address: | 33-57 Harrison St, Audiology Department JOHNSON CITY |
| State: | NY |
| Postal Code: | 137902107 |
| Phone Number: | 6077636554 |
| Fax Number: | 6077635637 |
| NPI Enumeration Date: | 10/29/2008 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 015986-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |