National Provider Identifier
Shanna Michelle Krugolets, CCC-SLP
Shanna Michelle Krugolets, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Eden, NY and a listed phone number of (716) 366-6710.
Profile Overview
- NPI
- 1053074195
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 15, 2021
- Last Updated
- October 15, 2021
Practice Location
- 2806 George St
- Eden, NY 14057-1205
Phone: (716) 366-6710
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1053074195
- Entity Type
- Individual
- Last Name
- Krugolets
- First Name
- Shanna
- Middle Name
- Michelle
- Name Prefix
- MS.
- Credential
- CCC-SLP
- Mailing Street Address
- 2806 George St
- Mailing City
- Eden
- Mailing State
- NY
- Mailing ZIP Code
- 14057-1205
- Mailing Country
- US
- Practice Street Address
- 2806 George St
- Practice City
- Eden
- Practice State
- NY
- Practice ZIP Code
- 14057-1205
- Practice Country
- US
- Practice Phone
- (716) 366-6710
- Enumeration Date
- October 15, 2021
- Last Updated
- October 15, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)