National Provider Identifier
Jaclyn Dusel, MA, CCC/L-SLP
Jaclyn Dusel, MA, CCC/L-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Amherst, NY and a listed phone number of (716) 819-2400.
Profile Overview
- NPI
- 1033558937
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 24, 2013
- Last Updated
- September 16, 2015
Practice Location
- 4242 Ridge Lea Road Suite 2
- Amherst, NY 14226
Phone: (716) 819-2400
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1033558937
- Entity Type
- Individual
- Last Name
- Dusel
- First Name
- Jaclyn
- Name Prefix
- Mrs.
- Credential
- MA, CCC/L-SLP
- Provider Other Last Name
- Lewandowski
- Provider Other First Name
- Jaclyn
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- MA, CCC/L-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4242 Ridge Lea Road Suite 2
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226
- Mailing Country
- US
- Mailing Phone
- (716) 819-2400
- Practice Street Address
- 4242 Ridge Lea Road Suite 2
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226
- Practice Country
- US
- Practice Phone
- (716) 819-2400
- Enumeration Date
- June 24, 2013
- Last Updated
- September 16, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 03662599 (NY)