National Provider Identifier
Miranda Isabella Lancaster, M.S.CCC-SLP
Miranda Isabella Lancaster, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Jamestown, NY and a listed phone number of (716) 661-1054.
Profile Overview
- NPI
- 1083382253
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 02, 2021
- Last Updated
- August 11, 2022
Practice Location
- 75 Jones And Gifford Ave
- Jamestown, NY 14701-2828
Phone: (716) 661-1054
Mailing Address
- 200 Dunham Ave
- Jamestown, NY 14701-2528
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1083382253
- Entity Type
- Individual
- Last Name
- Lancaster
- First Name
- Miranda
- Middle Name
- Isabella
- Credential
- M.S.CCC-SLP
- Mailing Street Address
- 200 Dunham Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2528
- Mailing Country
- US
- Mailing Phone
- (716) 661-1541
- Practice Street Address
- 75 Jones And Gifford Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2828
- Practice Country
- US
- Practice Phone
- (716) 661-1054
- Enumeration Date
- September 02, 2021
- Last Updated
- August 11, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)