National Provider Identifier
Elaine Theresa Desilva-Elich, CCC-LIC
Elaine Theresa Desilva-Elich, CCC-LIC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 328-8228.
Profile Overview
- NPI
- 1073896817
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 27, 2011
- Last Updated
- September 27, 2011
Practice Location
- 88 Kirkland RD
- Rochester, NY 14611-3137
Phone: (585) 328-8228
Mailing Address
- 88 Kirkland Road
- Adlai E Stevenson School No 29
- Rochester, NY 14611
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1073896817
- Entity Type
- Individual
- Last Name
- Desilva-Elich
- First Name
- Elaine
- Middle Name
- Theresa
- Name Prefix
- Mrs.
- Credential
- CCC-LIC
- Provider Other Last Name
- Desilva
- Provider Other First Name
- Elaine
- Provider Other Middle Name
- Theresa
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- CCC-LIC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 88 Kirkland Road
- Mailing Address Line 2
- Adlai E Stevenson School No 29
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611
- Mailing Country
- US
- Mailing Phone
- (585) 328-8228
- Mailing Fax
- (585) 935-7429
- Practice Street Address
- 88 Kirkland RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3137
- Practice Country
- US
- Practice Phone
- (585) 328-8228
- Practice Fax
- (585) 935-7429
- Enumeration Date
- September 27, 2011
- Last Updated
- September 27, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)