National Provider Identifier

Susan Lawrence-Dederich, MACCCSLP/L, TSHH

Susan Lawrence-Dederich, MACCCSLP/L, TSHH is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 853-4733.

NPI 1003078809Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1003078809
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 02, 2008
Last Updated
July 02, 2008

Practice Location

  • 299 Lakefront Blvd
  • Buffalo, NY 14202-4325

Phone: (716) 853-4733

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1003078809
Entity Type
Individual
Last Name
Lawrence-Dederich
First Name
Susan
Name Prefix
MS.
Credential
MACCCSLP/L, TSHH
Mailing Street Address
299 Lakefront Blvd
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-4325
Mailing Country
US
Mailing Phone
(716) 853-4733
Practice Street Address
299 Lakefront Blvd
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-4325
Practice Country
US
Practice Phone
(716) 853-4733
Enumeration Date
July 02, 2008
Last Updated
July 02, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)