National Provider Identifier

Michelle M Keen, SLP

Michelle M Keen, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lackawanna, NY and a listed phone number of (716) 822-4781.

NPI 1023296100Lackawanna, NYSpeech-Language Pathologist

Profile Overview

NPI
1023296100
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 31, 2008
Last Updated
January 31, 2008

Practice Location

  • 1025 Ridge RD
  • Lackawanna, NY 14218-1755

Phone: (716) 822-4781

Mailing Address

  • 3966 Grant Ave
  • Hamburg, NY 14075-2923

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1023296100
Entity Type
Individual
Last Name
Keen
First Name
Michelle
Middle Name
M
Name Prefix
Mrs.
Credential
SLP
Mailing Street Address
3966 Grant Ave
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-2923
Mailing Country
US
Mailing Phone
(716) 649-6288
Practice Street Address
1025 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1755
Practice Country
US
Practice Phone
(716) 822-4781
Practice Fax
(716) 825-5765
Enumeration Date
January 31, 2008
Last Updated
January 31, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)