National Provider Identifier

Penny L. Bianco, MS, CCC-SLP

Penny L. Bianco, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 482-4836.

NPI 1053600031Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1053600031
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
March 30, 2011
Last Updated
March 30, 2011

Practice Location

  • 450 Humboldt St
  • Rochester, NY 14610-1114

Phone: (585) 482-4836

Mailing Address

  • 617 County Road 7
  • Clifton Springs, NY 14432-9729

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1053600031
Entity Type
Individual
Last Name
Bianco
First Name
Penny
Middle Name
L.
Name Prefix
MS.
Credential
MS, CCC-SLP
Mailing Street Address
617 County Road 7
Mailing City
Clifton Springs
Mailing State
NY
Mailing ZIP Code
14432-9729
Mailing Country
US
Mailing Phone
(315) 462-3438
Practice Street Address
450 Humboldt St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-1114
Practice Country
US
Practice Phone
(585) 482-4836
Practice Fax
(585) 935-7428
Enumeration Date
March 30, 2011
Last Updated
March 30, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)